| Oak Landing Pediatric Dentistry, Llc | |
|
2001 2nd Ave Ste 102 Summerville SC 29486-7887 | |
| (843) 900-4490 | |
| (843) 501-9450 |
| Full Name | Oak Landing Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2001 2nd Ave Ste 102, Summerville, South Carolina |
| Authorized Official Name and Position | Gabriel N Ross (OWNER/DENTIST) |
| Authorized Official Contact | 8439004490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Landing Pediatric Dentistry, Llc 3255 Moonlight Dr Charleston SC 29414-8052 Ph: (803) 537-9136 | Oak Landing Pediatric Dentistry, Llc 2001 2nd Ave Ste 102 Summerville SC 29486-7887 Ph: (843) 900-4490 |
| NPI Number | 1649825969 |
|---|---|
| Provider Enumeration Date | 08/04/2019 |
| Last Update Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649825969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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