Lowcountry Dentistry Inc.

NPI 1063579399 - Dentist - 122300000X

NPI Details
NPI 1063579399
Enumeration Date 01/03/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DEBORAH ELIZABETH DEBORAH
Position PRESIDENT
Phone (843) 821-2500
Fax (843) 821-2092
Practice Location
402 OLD TROLLEY RD
SUITE 109
SUMMERVILLE SC, 29485-5608, US
Phone (843) 821-2500
Fax (843) 821-2092
Business Location
402 OLD TROLLEY RD
SUITE 109
SUMMERVILLE SC, 29485-5608, US
Phone (843) 821-2500
Fax (843) 821-2092
Toxanomy
Taxonomy Code 122300000X
License State South Carolina
License Number 3604
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According to our database, Lowcountry Dentistry Inc. NPI is 1063579399, taxonomy code is 122300000X and license number is 3604, license state is located at South Carolina. Lowcountry Dentistry Inc. physically located at 402 Old Trolley Rd, Summerville SC, 29485-5608. NPI Number 1033115704 has the healthcare provider type.

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1063579399 NPI number is provided on an as is basis without warranty of any kind. 1063579399 is maintained by the National Plan & Provider Enumeration System. The contents of Lowcountry Dentistry Inc. are for informational purposes only.