| Kiawah Village Dentistry, Pa | |
|
154 Gardners Cir Johns Island SC 29455-5467 | |
| (843) 768-8376 | |
| Not Available |
| Full Name | Kiawah Village Dentistry, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 154 Gardners Cir, Johns Island, South Carolina |
| Authorized Official Name and Position | Dustin Robert Plunkett (OWNER) |
| Authorized Official Contact | 8437688376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiawah Village Dentistry, Pa 130 Gardeners Circle Pmb # 131 Johns Island SC 29455 Ph: (843) 768-8376 | Kiawah Village Dentistry, Pa 154 Gardners Cir Johns Island SC 29455-5467 Ph: (843) 768-8376 |
| NPI Number | 1366057168 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 09/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366057168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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