Distinctive Dentistry - Dental Clinic in Irmo, SC

Distinctive Dentistry is a dental clinic (Dentist - General Practice) in Irmo, South Carolina. The current practice location for Distinctive Dentistry is 11107 Broad River Rd, Suite D, Irmo, South Carolina. For appointments, you can reach them via phone at (803) 749-3980. The mailing address for Distinctive Dentistry is 11107 Broad River Rd, Suite D, Irmo, South Carolina and phone number is (803) 749-3980.

Distinctive Dentistry is licensed to practice in South Carolina (license number 4114) and its NPI number is 1760664304. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (803) 749-3980.

Contact Information

Distinctive Dentistry
11107 Broad River Rd
Suite D
Irmo
SC 29063-7602
(803) 749-3980
(803) 749-3981

Dental Care Clinic Profile

Full NameDistinctive Dentistry
SpecialityDentist - General Practice
Location11107 Broad River Rd, Irmo, South Carolina
Authorized Official Name and PositionRobert Ray Cunningham (OWNER)
Authorized Official Contact8039176962
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Distinctive Dentistry
11107 Broad River Rd
Suite D
Irmo
SC 29063-7602

Ph: (803) 749-3980
Distinctive Dentistry
11107 Broad River Rd
Suite D
Irmo
SC 29063-7602

Ph: (803) 749-3980

NPI Details:

NPI Number1760664304
Provider Enumeration Date12/05/2007
Last Update Date12/05/2007

Medical Identifiers

Medical identifiers for Distinctive Dentistry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760664304NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 4114 (South Carolina)Primary

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Dental Clinics in Irmo, SC

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A. Crosby Livingston, Jr., Dmd, Pa
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Phone: 803-781-2439    Fax: 803-781-2601

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