| Head Dental Associates | |
|
1483 Tobias Gadson Blvd Suite 105 Charleston SC 29407-8702 | |
| (843) 556-3838 | |
| (843) 556-4325 |
| Full Name | Head Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1483 Tobias Gadson Blvd, Charleston, South Carolina |
| Authorized Official Name and Position | Nathen Douglas Head (MANAGER) |
| Authorized Official Contact | 8036734788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Head Dental Associates 1483 Tobias Gadson Blvd Suite 105 Charleston SC 29407-8702 Ph: (843) 556-3838 | Head Dental Associates 1483 Tobias Gadson Blvd Suite 105 Charleston SC 29407-8702 Ph: (843) 556-3838 |
| NPI Number | 1962830216 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 10/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962830216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8070 (South Carolina) | Primary |
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