| St Stephen Family Dentistry | |
|
1142 Main Street St Stephen SC 29479-3996 | |
| (843) 567-2900 | |
| (843) 567-2099 |
| Full Name | St Stephen Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1142 Main Street, St Stephen, South Carolina |
| Authorized Official Name and Position | Tristan Milton Cordray (OWNER) |
| Authorized Official Contact | 8435672900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Stephen Family Dentistry Po Box 1710 1142 Main Street St Stephen SC 29479-3996 Ph: (843) 567-2900 | St Stephen Family Dentistry 1142 Main Street St Stephen SC 29479-3996 Ph: (843) 567-2900 |
| NPI Number | 1730371873 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730371873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4328 (South Carolina) | Primary |
Dr Charles D. Myers, Jr Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Cedar Street, St Stephen, SC 29479 Phone: 843-567-3175 Fax: 843-567-3293 |