Charleston Pediatric Dentistry, P.a. | |
9217 University Blvd Ste 1c North Charleston SC 29406-9147 | |
(843) 797-5133 | |
(843) 797-5865 |
Full Name | Charleston Pediatric Dentistry, P.a. |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 9217 University Blvd Ste 1c, North Charleston, South Carolina |
Authorized Official Name and Position | Lisa Bodiford (OFFICE MANAGER) |
Authorized Official Contact | 8437975133 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Charleston Pediatric Dentistry, P.a. 9217 University Blvd Ste 1c North Charleston SC 29406-9147 Ph: (843) 797-5133 | Charleston Pediatric Dentistry, P.a. 9217 University Blvd Ste 1c North Charleston SC 29406-9147 Ph: (843) 797-5133 |
NPI Number | 1033238589 |
---|---|
Provider Enumeration Date | 03/28/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033238589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 2638-0358 SC (South Carolina) | Primary |
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