| Moncks Corner Dental Group | |
|
2830 Highway 52 Suite 360 Moncks Corner SC 29461 | |
| (843) 990-4715 | |
| (843) 996-1812 |
| Full Name | Moncks Corner Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2830 Highway 52 Suite 360, Moncks Corner, South Carolina |
| Authorized Official Name and Position | Alex Sharifian (OWNER) |
| Authorized Official Contact | 8439904715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moncks Corner Dental Group Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Moncks Corner Dental Group 2830 Highway 52 Suite 360 Moncks Corner SC 29461 Ph: (843) 990-4715 |
| NPI Number | 1902503832 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902503832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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