| Drs. Kunkle And Powell, Pa | |
|
119 Library St Moncks Corner SC 29461-3751 | |
| (843) 761-8065 | |
| (843) 761-5085 |
| Full Name | Drs. Kunkle And Powell, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 119 Library St, Moncks Corner, South Carolina |
| Authorized Official Name and Position | Suzanne Sprouse Powell (CO-OWNER/GENERAL DENTIST) |
| Authorized Official Contact | 8437618065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Kunkle And Powell, Pa 119 Library St Moncks Corner SC 29461-3751 Ph: (843) 761-8065 | Drs. Kunkle And Powell, Pa 119 Library St Moncks Corner SC 29461-3751 Ph: (843) 761-8065 |
| NPI Number | 1396963443 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396963443 | NPI | - | NPPES |
| ZA9778 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3119 SC (South Carolina) | Primary |
| 1223G0001X | Dentist - General Practice | 1641 SC (South Carolina) | Secondary |
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