| Mouth Carolina Dentistry, Pa | |
|
3 Gamecock Ave Suite 302 Charleston SC 29407-3378 | |
| (843) 556-4798 | |
| (843) 556-4798 |
| Full Name | Mouth Carolina Dentistry, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3 Gamecock Ave, Charleston, South Carolina |
| Authorized Official Name and Position | Andrew William Greenberg (PRESIDENT) |
| Authorized Official Contact | 8432604592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mouth Carolina Dentistry, Pa 3 Gamecock Ave Suite 302 Charleston SC 29407-3378 Ph: (843) 556-4798 | Mouth Carolina Dentistry, Pa 3 Gamecock Ave Suite 302 Charleston SC 29407-3378 Ph: (843) 556-4798 |
| NPI Number | 1740568765 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740568765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4643 (South Carolina) | Primary |
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