| Lowcountry Prosthodontics | |
|
25 Clark Summit Dr Bluffton SC 29910-4205 | |
| (843) 706-3800 | |
| (843) 706-3802 |
| Full Name | Lowcountry Prosthodontics |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 25 Clark Summit Dr, Bluffton, South Carolina |
| Authorized Official Name and Position | Virgil Vacarean (DENTIST) |
| Authorized Official Contact | 8437063800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowcountry Prosthodontics 25 Clark Summit Dr Bluffton SC 29910-4205 Ph: (843) 706-3800 | Lowcountry Prosthodontics 25 Clark Summit Dr Bluffton SC 29910-4205 Ph: (843) 706-3800 |
| NPI Number | 1043301146 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043301146 | NPI | - | NPPES |
| ZX3764 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3764 (South Carolina) | Primary |
| 1223P0700X | Dentist - Prosthodontics | 0585 (South Carolina) | Primary |
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