| Dr. Traci C. Lennon | |
|
512 N Pine St Summerville SC 29483-6555 | |
| (843) 873-1202 | |
| (843) 873-4962 |
| Full Name | Dr. Traci C. Lennon |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 512 N Pine St, Summerville, South Carolina |
| Authorized Official Name and Position | Traci C. Lennon (DENTIST) |
| Authorized Official Contact | 8438731202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Traci C. Lennon 512 N Pine St Summerville SC 29483-6555 Ph: (843) 873-1202 | Dr. Traci C. Lennon 512 N Pine St Summerville SC 29483-6555 Ph: (843) 873-1202 |
| NPI Number | 1881741502 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881741502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3037 (South Carolina) | Primary |
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