| Trident Dental Specialty Partners | |
|
6335 Dorchester Rd Charleston SC 29418-5103 | |
| (843) 552-2580 | |
| Not Available |
| Full Name | Trident Dental Specialty Partners |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6335 Dorchester Rd, Charleston, South Carolina |
| Authorized Official Name and Position | Mark Yampolsky (PARTNER) |
| Authorized Official Contact | 8435522580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trident Dental Specialty Partners 6335 Dorchester Rd Charleston SC 29418-5103 Ph: (843) 552-2580 | Trident Dental Specialty Partners 6335 Dorchester Rd Charleston SC 29418-5103 Ph: (843) 552-2580 |
| NPI Number | 1740646769 |
|---|---|
| Provider Enumeration Date | 01/06/2016 |
| Last Update Date | 01/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740646769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2962 (South Carolina) | Primary |
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