Trident Dental Partners Llc | |
6335 Dorchester Road Charleston SC 29418-5103 | |
(843) 552-2580 | |
Not Available |
Full Name | Trident Dental Partners Llc |
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Speciality | Clinic/center - Dental |
Location | 6335 Dorchester Road, Charleston, South Carolina |
Authorized Official Name and Position | James E Layton (OWNER) |
Authorized Official Contact | 8435522580 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Trident Dental Partners Llc 6335 Dorchester Rd N Charleston SC 29418-5103 Ph: (843) 552-2580 | Trident Dental Partners Llc 6335 Dorchester Road Charleston SC 29418-5103 Ph: (843) 552-2580 |
NPI Number | 1215395488 |
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Provider Enumeration Date | 02/03/2016 |
Last Update Date | 02/03/2016 |
Identifier | Type | State | Issuer |
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1215395488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 7027 (South Carolina) | Primary |
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