| Tdsp-summerville Llc | |
|
604-b Nexton Square Dr Summerville SC 29486 | |
| (843) 594-5244 | |
| Not Available |
| Full Name | Tdsp-summerville Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 604-b Nexton Square Dr, Summerville, South Carolina |
| Authorized Official Name and Position | Eric Layton (OWNER) |
| Authorized Official Contact | 8435945244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdsp-summerville Llc 604-b Nexton Square Dr Summerville SC 29486 Ph: (843) 594-5244 | Tdsp-summerville Llc 604-b Nexton Square Dr Summerville SC 29486 Ph: (843) 594-5244 |
| NPI Number | 1336783604 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 10/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336783604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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