| Coastal Family Dentistry Of West Ashley, Pa | |
|
1575 Savannah Hwy Suite 1 Charleston SC 29407-7842 | |
| (843) 556-6575 | |
| (843) 556-0207 |
| Full Name | Coastal Family Dentistry Of West Ashley, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1575 Savannah Hwy, Charleston, South Carolina |
| Authorized Official Name and Position | Matthew C. Watson (OWNER) |
| Authorized Official Contact | 8435566575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Dentistry Of West Ashley, Pa 1575 Savannah Hwy Suite 1 Charleston SC 29407-7842 Ph: (843) 556-6575 | Coastal Family Dentistry Of West Ashley, Pa 1575 Savannah Hwy Suite 1 Charleston SC 29407-7842 Ph: (843) 556-6575 |
| NPI Number | 1528271368 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528271368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3539 (South Carolina) | Secondary |
| 1223G0001X | Dentist - General Practice | 3298 (South Carolina) | Primary |
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