| B. Ryan Fleming, DDS, PA | |
|
14 Lockwood Dr Suite A Charleston SC 29401-1126 | |
| (843) 722-8500 | |
| (843) 720-8555 |
| Full Name | B. Ryan Fleming, DDS, PA |
|---|---|
| Speciality | Dentist |
| Location | 14 Lockwood Dr, Charleston, South Carolina |
| Authorized Official Name and Position | Janell Carlow (BUS MGR) |
| Authorized Official Contact | 8437228500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B. Ryan Fleming, DDS, PA 14 Lockwood Dr Suite A Charleston SC 29401-1126 Ph: (843) 722-8500 | B. Ryan Fleming, DDS, PA 14 Lockwood Dr Suite A Charleston SC 29401-1126 Ph: (843) 722-8500 |
| NPI Number | 1174839674 |
|---|---|
| Provider Enumeration Date | 08/23/2010 |
| Last Update Date | 08/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174839674 | NPI | - | NPPES |
| ZX-4689 | Medicaid | SC | |
| Z-1313 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1313 (South Carolina) | Secondary |
| 122300000X | Dentist | 4689 (South Carolina) | Primary |
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