| Hampton Park Dentistry, Llc | |
|
700 Rutledge Ave # A Charleston SC 29403-4145 | |
| (843) 801-9933 | |
| Not Available |
| Full Name | Hampton Park Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 700 Rutledge Ave # A, Charleston, South Carolina |
| Authorized Official Name and Position | Jan Baraczek (GENERAL DENTIST) |
| Authorized Official Contact | 8032718221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampton Park Dentistry, Llc 201 Coming St Charleston SC 29403-5438 Ph: (803) 271-8221 | Hampton Park Dentistry, Llc 700 Rutledge Ave # A Charleston SC 29403-4145 Ph: (843) 801-9933 |
| NPI Number | 1710595061 |
|---|---|
| Provider Enumeration Date | 07/22/2020 |
| Last Update Date | 07/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710595061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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