Sea Island Family Denistry | |
902 Coleman Blvd Mount Pleasant SC 29464-4046 | |
(843) 884-4340 | |
(843) 884-1703 |
Full Name | Sea Island Family Denistry |
---|---|
Speciality | Dentist |
Location | 902 Coleman Blvd, Mount Pleasant, South Carolina |
Authorized Official Name and Position | John Cagle (OWNER) |
Authorized Official Contact | 8438844340 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sea Island Family Denistry 902 Coleman Blvd Mount Pleasant SC 29464-4046 Ph: (843) 884-4340 | Sea Island Family Denistry 902 Coleman Blvd Mount Pleasant SC 29464-4046 Ph: (843) 884-4340 |
NPI Number | 1538259528 |
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Provider Enumeration Date | 10/13/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538259528 | NPI | - | NPPES |
ZA9805 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2564 (South Carolina) | Primary |
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