INNOVATIVE ENDODONTICS NPI 1972227684

NPI Information

  • NPI: 1972227684
  • Provider Name: INNOVATIVE ENDODONTICS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 2900 N MAIN ST STE G
    MONCKS CORNER, SC
    ZIP 29461
  • Phone: (843) 899-7668

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NPI Details

INNOVATIVE ENDODONTICS is an endodontics dentist in Moncks Corner, SC. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. INNOVATIVE ENDODONTICS NPI is 1972227684. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2900 N MAIN ST STE G
MONCKS CORNER, SC
ZIP 29461-451
Phone: (843) 899-7668
Fax: (843) 899-7667

The provider's authorized official is Monica Estes .
The authorized official title is Owner and has the following contact phone number (843) 899-7668.

The enumeration date for this NPI number is 9/27/2022 and was last updated on 9/27/2022.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodonticsYes

What is NPI?

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This page was last updated on: 3/30/2025

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