Summerville Pediatric Dentistry | |
405 W 5th North St Ste A Summerville SC 29483-6515 | |
(843) 871-6433 | |
Not Available |
Full Name | Summerville Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 405 W 5th North St Ste A, Summerville, South Carolina |
Authorized Official Name and Position | Dorothy M Baker (OWNER) |
Authorized Official Contact | 8738716433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Summerville Pediatric Dentistry 405 W 5th North St Ste A Summerville SC 29483-6515 Ph: (843) 871-6433 | Summerville Pediatric Dentistry 405 W 5th North St Ste A Summerville SC 29483-6515 Ph: (843) 871-6433 |
NPI Number | 1275764672 |
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Provider Enumeration Date | 08/03/2009 |
Last Update Date | 08/03/2009 |
Identifier | Type | State | Issuer |
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1275764672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 3903 (South Carolina) | Primary |
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