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Contact Information

RUSSELL S EDDY, DMD
277 B WILLBROOK BLVD
PAWLEYS ISLAND, SC29585
 Phone: 843-235-9780
 Fax: 843-235-8444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for RUSSELL S EDDY · (Male)

NPI Number 1477501575
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/04/2006
Last updated 10/31/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 3662
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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