| Teeth Ds Isle Of Palms | |
|
15 21st Ave Isle Of Palms SC 29451-2384 | |
| (843) 886-6461 | |
| (843) 886-3957 |
| Full Name | Teeth Ds Isle Of Palms |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15 21st Ave, Isle Of Palms, South Carolina |
| Authorized Official Name and Position | Luke Liszka (OWNER) |
| 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 Po Box 347 Isle Of Palms SC 29451-0347 Ph: (843) 886-6461 | Teeth Ds Isle Of Palms 15 21st Ave Isle Of Palms SC 29451-2384 Ph: (843) 886-6461 |
| NPI Number | 1386244846 |
|---|---|
| Provider Enumeration Date | 10/26/2020 |
| Last Update Date | 10/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386244846 | NPI | - | NPPES |
| 9325 | Other | SC | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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 | |
Brent G Bailey Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 21st Ave, Isle Of Palms, SC 29451 Phone: 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 |