1724 STATE SUMMERVILLE PROFESSIONAL, LLC is a general practice dentist in Summerville, 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. 1724 STATE SUMMERVILLE PROFESSIONAL, LLC NPI is 1730847724. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1724 STATE RD UNIT 4D
SUMMERVILLE, SC
ZIP 29486-842
Phone: (843) 352-4454
Fax: (843) 352-4875
The provider's authorized official is Peter Grumbos .
The authorized official title is Owner and has the following contact phone number (843) 352-4454.
The enumeration date for this NPI number is 12/7/2021 and was last updated on 12/7/2021.