Orangeburg Ortho LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Summerville, SC. Organization (NPI-2).
NPI number1073431144
StatusActive
Last updated in NPPESJul 7, 2026
Details
- NPI
- 1073431144
- Entity type
- Organization (NPI-2)
- Legal business name
- Orangeburg Ortho LLC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2026
- Certification date
- Jul 7, 2026
- Last updated
- Jul 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Practice location
953 Orangeburg Rd Ste ASummerville, SC 29483-8941
Phone 843-261-2001
Mailing address
953 Orangeburg Rd Ste ASummerville, SC 29483-8941
Phone 843-261-2001
Authorized official
Jenni Tomlinson
Credentialing And Enrollment
4705521823
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