| Coosaw Dental, Llc | |
|
8626 Dorchester Rd Ste 102 North Charleston SC 29420-7328 | |
| (843) 225-7614 | |
| Not Available |
| Full Name | Coosaw Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 8626 Dorchester Rd Ste 102, North Charleston, South Carolina |
| Authorized Official Name and Position | Thomas Nelson Pare (OWNER/DENTIST) |
| Authorized Official Contact | 8432257614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coosaw Dental, Llc 8626 Dorchester Rd Ste 102 North Charleston SC 29420-7328 Ph: (843) 225-7614 | Coosaw Dental, Llc 8626 Dorchester Rd Ste 102 North Charleston SC 29420-7328 Ph: (843) 225-7614 |
| NPI Number | 1124574132 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124574132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4650 (South Carolina) | Primary |
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