Pawleys Island Pediatric Dentistry
Dentist, Pediatric Dentistry in Pawleys Island, SC. Organization (NPI-2).
NPI number1366580276
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1366580276
- Entity type
- Organization (NPI-2)
- Legal business name
- Pawleys Island Pediatric Dentistry
- Organization subpart
- No
- Enumeration date
- Feb 2, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 3910 | SC | Yes |
Practice location
9462 Ocean HighwayPawleys Island, SC 29585
Phone 843-235-0536 · Fax 843-237-8459
Mailing address
9462 Ocean HwyPo Box 3595
Pawleys Island, SC 29585
Phone 843-235-0536 · Fax 843-237-8459
Authorized official
Meredith Lucius Papadea
President
8432350536
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