| Glenns Bay Dental Associates | |
|
1625 Glenns Bay Rd Surfside Beach SC 29575-4836 | |
| (843) 650-5100 | |
| (843) 650-0689 |
| Full Name | Glenns Bay Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1625 Glenns Bay Rd, Surfside Beach, South Carolina |
| Authorized Official Name and Position | Joseph Harold Capps (OWNER) |
| Authorized Official Contact | 8436505100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenns Bay Dental Associates 1625 Glenns Bay Rd Surfside Beach SC 29575-4836 Ph: (843) 650-5100 | Glenns Bay Dental Associates 1625 Glenns Bay Rd Surfside Beach SC 29575-4836 Ph: (843) 650-5100 |
| NPI Number | 1508197724 |
|---|---|
| Provider Enumeration Date | 01/28/2010 |
| Last Update Date | 01/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508197724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 117168 (South Carolina) | Primary |
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