Brent R. Humphrey Dmd, P.a.

NPI 1316950843 - Dentist - 1223P0221X

NPI Details
NPI 1316950843
Enumeration Date 08/14/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRENT R. BRENT
Position OWNER
Phone (843) 797-2000
Fax (843) 797-8826
Practice Location
103 SPRINGHALL DR
GOOSE CREEK SC, 29445-5336, US
Phone (843) 797-2000
Fax (843) 797-8826
Business Location
103 SPRINGHALL DR
GOOSE CREEK SC, 29445-5336, US
Phone (843) 797-2000
Fax (843) 797-8826
Toxanomy
Taxonomy Code 1223P0221X
License State South Carolina
License Number 2872
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According to our database, Brent R. Humphrey Dmd, P.a. NPI is 1316950843, taxonomy code is 1223P0221X and license number is 2872, license state is located at South Carolina. Brent R. Humphrey Dmd, P.a. physically located at 103 Springhall Dr, Goose Creek SC, 29445-5336. NPI Number 1033115704 has the healthcare provider type.

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1316950843 NPI number is provided on an as is basis without warranty of any kind. 1316950843 is maintained by the National Plan & Provider Enumeration System. The contents of Brent R. Humphrey Dmd, P.a. are for informational purposes only.