| Sweetgrass Dental Of Summerville | |
|
2039 N Main St Summerville SC 29483-7821 | |
| (843) 871-0433 | |
| Not Available |
| Full Name | Sweetgrass Dental Of Summerville |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2039 N Main St, Summerville, South Carolina |
| Authorized Official Name and Position | Kim T Durham (SECRETARY) |
| Authorized Official Contact | 8643501386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweetgrass Dental Of Summerville 130 Meridian Rd Beaufort SC 29907-1700 Ph: (864) 350-1386 | Sweetgrass Dental Of Summerville 2039 N Main St Summerville SC 29483-7821 Ph: (843) 871-0433 |
| NPI Number | 1144634288 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144634288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3440 (South Carolina) | Primary |
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