| Cane Bay Family Dentistry - Goose Creek Llc | |
|
129 Plantation North Blvd Unit D Goosecreek SC 29445-2944 | |
| (843) 410-4920 | |
| (843) 410-4924 |
| Full Name | Cane Bay Family Dentistry - Goose Creek Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 129 Plantation North Blvd, Goosecreek, South Carolina |
| Authorized Official Name and Position | Taylor Denae Davis (OFFICE MANAGER) |
| Authorized Official Contact | 8433524454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cane Bay Family Dentistry - Goose Creek Llc 129 Plantation North Blvd Unit D Goosecreek SC 29445 Ph: (843) 410-4920 | Cane Bay Family Dentistry - Goose Creek Llc 129 Plantation North Blvd Unit D Goosecreek SC 29445-2944 Ph: (843) 410-4920 |
| NPI Number | 1497361307 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 09/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497361307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |