Al Ivester,dmd,pa
Dentist in Mt Pleasant, SC. Organization (NPI-2).
NPI number1033328620
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1033328620
- Entity type
- Organization (NPI-2)
- Legal business name
- Al Ivester,dmd,pa
- Organization subpart
- No
- Enumeration date
- May 21, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 1803 | SC | Yes |
Practice location
636 Long Point Rd Unit FBelle Hall Shopping Center
Mt Pleasant, SC 29464-8286
Phone 843-971-8668
Mailing address
176 Scott StDaniel Island, SC 29492-7539
Phone 843-216-0419
Authorized official
William Alan Ivester
President
8439718668
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