| Trident General Dentistry Pa | |
|
6335 Dorchester Rd Charleston SC 29418-5103 | |
| (843) 552-2580 | |
| (843) 552-2596 |
| Full Name | Trident General Dentistry Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6335 Dorchester Rd, Charleston, South Carolina |
| Authorized Official Name and Position | James Eric Layton (PRESIDENT) |
| Authorized Official Contact | 8435522580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trident General Dentistry Pa 6335 Dorchester Rd Charleston SC 29418-5103 Ph: (843) 552-2580 | Trident General Dentistry Pa 6335 Dorchester Rd Charleston SC 29418-5103 Ph: (843) 552-2580 |
| NPI Number | 1669747291 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669747291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (South Carolina) | Primary |
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