| Cedar Drive Family Dentistry | |
|
133 Cedar Drive Saint Stephen SC 29479 | |
| (843) 567-3175 | |
| Not Available |
| Full Name | Cedar Drive Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 133 Cedar Drive, Saint Stephen, South Carolina |
| Authorized Official Name and Position | Laura Caddell (OWNER) |
| Authorized Official Contact | 8435673175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Drive Family Dentistry Po Box 760 Saint Stephen SC 29479-0760 Ph: (843) 567-3175 | Cedar Drive Family Dentistry 133 Cedar Drive Saint Stephen SC 29479 Ph: (843) 567-3175 |
| NPI Number | 1235685843 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235685843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Jamie Y Driggers Dmd Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Cedar Street, Saint Stephen, SC 29479 Phone: 843-567-3175 Fax: 843-567-3293 |