| Tidelands Dental On Glenns Bay Llc | |
|
1625 Glenns Bay Rd Surfside Beach SC 29575-4836 | |
| (843) 650-4500 | |
| (843) 650-4510 |
| Full Name | Tidelands Dental On Glenns Bay Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1625 Glenns Bay Rd, Surfside Beach, South Carolina |
| Authorized Official Name and Position | Peter Jones (BUSINESS MANAGER) |
| Authorized Official Contact | 6035311001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidelands Dental On Glenns Bay Llc 3577 Marion Ln Murrells Inlet SC 29576-6012 Ph: (603) 531-1001 | Tidelands Dental On Glenns Bay Llc 1625 Glenns Bay Rd Surfside Beach SC 29575-4836 Ph: (843) 650-4500 |
| NPI Number | 1619507019 |
|---|---|
| Provider Enumeration Date | 01/24/2020 |
| Last Update Date | 01/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619507019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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