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Contact Information

SOUTHEAST ENDODONTICS, PC
10 FARMFIELD AVE
CHARLESTON, SC29407-7756
 Phone: 843-766-0112
 Fax: 843-766-0884
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for SOUTHEAST ENDODONTICS PC · (Female)

NPI # 1902019722
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 3707
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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