| Charleston Family Dental | |
|
2170 Savannah Hwy Charleston SC 29414-5311 | |
| (843) 571-0117 | |
| (843) 571-0952 |
| Full Name | Charleston Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 2170 Savannah Hwy, Charleston, South Carolina |
| Authorized Official Name and Position | W. Keith Kirkland (OWNER) |
| Authorized Official Contact | 8435710117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Family Dental 2170 Savannah Hwy Charleston SC 29414-5311 Ph: (843) 571-0117 | Charleston Family Dental 2170 Savannah Hwy Charleston SC 29414-5311 Ph: (843) 571-0117 |
| NPI Number | 1083883961 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083883961 | NPI | - | NPPES |
| ZA9576 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2806 (South Carolina) | Primary |
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