CHARLESTON YOUTH DENTISTRY LLC NPI 1215995501

NPI Information

CHARLESTON YOUTH DENTISTRY, LLC is a general practice dentist in North Charleston, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CHARLESTON YOUTH DENTISTRY, LLC NPI is 1215995501. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6035A RIVERS AVE
NORTH CHARLESTON, SC
ZIP 29406-924
Phone: (843) 572-9909
Fax: (843) 572-9901

The provider's authorized official is Jenell Stump .
The authorized official title is Manager, Licensing & Credentialing and has the following contact phone number (615) 750-0343.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 7/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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