| Lowcountry Oral And Facial Surgery | |
|
2270 Ashley Crossing Dr Ste 175 Charleston SC 29414-5863 | |
| (843) 410-5766 | |
| (843) 410-5767 |
| Full Name | Lowcountry Oral And Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2270 Ashley Crossing Dr Ste 175, Charleston, South Carolina |
| Authorized Official Name and Position | Frederick M Dillard (OWNER) |
| Authorized Official Contact | 8434105766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowcountry Oral And Facial Surgery 2270 Ashley Crossing Dr Ste 175 Charleston SC 29414-5863 Ph: (843) 410-5766 | Lowcountry Oral And Facial Surgery 2270 Ashley Crossing Dr Ste 175 Charleston SC 29414-5863 Ph: (843) 410-5766 |
| NPI Number | 1952798357 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 04/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952798357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3868 (South Carolina) | Primary |
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