| Knightsville Pediatric Dentistry | |
|
852 Orangeburg Rd Summerville SC 29483-8965 | |
| (843) 771-2003 | |
| Not Available |
| Full Name | Knightsville Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 852 Orangeburg Rd, Summerville, South Carolina |
| Authorized Official Name and Position | June Murakaru-mccollum (DENTIST) |
| Authorized Official Contact | 8437712003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knightsville Pediatric Dentistry 1025 Blakeway St Daniel Island SC 29492-7947 Ph: (678) 907-0984 | Knightsville Pediatric Dentistry 852 Orangeburg Rd Summerville SC 29483-8965 Ph: (843) 771-2003 |
| NPI Number | 1164252136 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164252136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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