| Live Oak Endontics | |
|
2080 Royle Rd Unit D Summerville SC 29486-1301 | |
| (843) 871-0842 | |
| Not Available |
| Full Name | Live Oak Endontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2080 Royle Rd Unit D, Summerville, South Carolina |
| Authorized Official Name and Position | Angela M Bazzle (OPERATIONS MANAGER) |
| Authorized Official Contact | 8438710842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Oak Endontics 1971 N Main St Summerville SC 29486-7890 Ph: (843) 871-0842 | Live Oak Endontics 2080 Royle Rd Unit D Summerville SC 29486-1301 Ph: (843) 871-0842 |
| NPI Number | 1598457715 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 05/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598457715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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