| Tidewater Dentistry, Pa | |
|
502 N Pine St Summerville SC 29483-6555 | |
| (843) 871-5394 | |
| Not Available |
| Full Name | Tidewater Dentistry, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 502 N Pine St, Summerville, South Carolina |
| Authorized Official Name and Position | James Reed Williamson (PRESIDENT) |
| Authorized Official Contact | 8438731646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Dentistry, Pa 503 N Pine St Summerville SC 29483-6554 Ph: () - | Tidewater Dentistry, Pa 502 N Pine St Summerville SC 29483-6555 Ph: (843) 871-5394 |
| NPI Number | 1306361092 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306361092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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