Charleston Periodonticspa

NPI 1003955659 - Dentist - 1223P0300X

NPI Details
NPI 1003955659
Enumeration Date 02/06/2007
Last Updated 05/02/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEFFREY J JEFFREY
Position PERIODONTIST
Phone (843) 766-7131
Fax (843) 766-1839
Practice Location
1051 GARDNER RD
SUITE A
CHARLESTON SC, 29407-5747, US
Phone (843) 766-7131
Fax (843) 766-1839
Business Location
1051 GARDNER RD
SUITE A
CHARLESTON SC, 29407-5747, US
Phone (843) 766-7131
Fax (843) 766-1839
Toxanomy
Taxonomy Code 1223P0300X
License State
License Number
Remove 1003955659 NPI Number
 

According to our database, Charleston Periodonticspa NPI is 1003955659, taxonomy code is 1223P0300X Charleston Periodonticspa physically located at 1051 Gardner Rd, Charleston SC, 29407-5747. NPI Number 1033115704 has the healthcare provider type.

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1003955659 NPI number is provided on an as is basis without warranty of any kind. 1003955659 is maintained by the National Plan & Provider Enumeration System. The contents of Charleston Periodonticspa are for informational purposes only.