| Southern Tides Dental | |
|
1701 Beaucastle Rd Ste B Mt Pleasant SC 29464-3685 | |
| (843) 258-8604 | |
| Not Available |
| Full Name | Southern Tides Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1701 Beaucastle Rd Ste B, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Hollie A Foust (COACH) |
| Authorized Official Contact | 8033226020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Tides Dental 1850 Crest Rd Maryville TN 37804-4305 Ph: (865) 982-1700 | Southern Tides Dental 1701 Beaucastle Rd Ste B Mt Pleasant SC 29464-3685 Ph: (843) 258-8604 |
| NPI Number | 1023993912 |
|---|---|
| Provider Enumeration Date | 08/08/2025 |
| Last Update Date | 08/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023993912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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