| Teeth Ds Isle Of Palms | |
| 15 21st Ave Isle Of Palms SC 29451-2384 | |
| (843) 886-6461 | |
| Not Available | 
| Full Name | Teeth Ds Isle Of Palms | 
|---|---|
| Speciality | Dentist - Endodontics | 
| Location | 15 21st Ave, Isle Of Palms, South Carolina | 
| Authorized Official Name and Position | Luke Liszka (PERIODONTIST) | 
| Authorized Official Contact | 8438866461 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Teeth Ds Isle Of Palms 15 21st Ave Isle Of Palms SC 29451-2384 Ph: (843) 886-6461 | Teeth Ds Isle Of Palms 15 21st Ave Isle Of Palms SC 29451-2384 Ph: (843) 886-6461 | 
| NPI Number | 1144002791 | 
|---|---|
| Provider Enumeration Date | 10/18/2023 | 
| Last Update Date | 10/18/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144002791 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary | 
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary | 
| Brent G Bailey Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 21st Ave, Isle Of Palms, SC 29451 Phone: 843-886-3957 | |
| Teeth Ds Isle Of Palms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 21st Ave, Isle Of Palms, SC 29451 Phone: 843-886-6461 Fax: 843-886-3957 | |
| Family Dental Health Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 21st Ave, Isle Of Palms, SC 29451 Phone: 843-886-6461 |