Jake Laxer, | |
204 W Hill Blvd, Joint Base Charleston, SC 29404-4704 | |
(843) 963-6880 | |
Not Available |
Full Name | Jake Laxer |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 204 W Hill Blvd, Joint Base Charleston, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417578717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 11866 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jake Laxer, 204 W Hill Blvd, Joint Base Charleston, SC 29404-4704 Ph: (843) 963-6880 | Jake Laxer, 204 W Hill Blvd, Joint Base Charleston, SC 29404-4704 Ph: (843) 963-6880 |
Dr. Matthew Burns, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 204 W Hill Blvd, Joint Base Charleston, SC 29404 Phone: 843-963-6864 | |
Kristina S Shute, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 204 W Hill Blvd, Joint Base Charleston, SC 29404 Phone: 843-963-6880 |