| Dr Charles D. Myers, Jr Dmd | |
|
133 Cedar Street St Stephen SC 29479 | |
| (843) 567-3175 | |
| (843) 567-3293 |
| Full Name | Dr Charles D. Myers, Jr Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 133 Cedar Street, St Stephen, South Carolina |
| Authorized Official Name and Position | Charles D Myers (OWNER/OPERATOR) |
| Authorized Official Contact | 8435673175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles D. Myers, Jr Dmd Po Box 760 Saint Stephen SC 29479-0760 Ph: (843) 567-3175 | Dr Charles D. Myers, Jr Dmd 133 Cedar Street St Stephen SC 29479 Ph: (843) 567-3175 |
| NPI Number | 1043232218 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043232218 | NPI | - | NPPES |
| SC1954 | Other | SC | SC LICENSE NUMBER |
| 919542 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1954 (South Carolina) | Primary |
St Stephen Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1142 Main Street, St Stephen, SC 29479 Phone: 843-567-2900 Fax: 843-567-2099 |