Organization · Type 2 NPI
Brent R. Humphrey Dmd, P.a.
Pediatric Dentistry · Goose Creek, SC
NPI number
1316950843
Active
Practice location
103 Springhall Dr
Goose Creek, SC 29445-5336
Fax (843) 797-8826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 2872 (SC) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1316950843
Brent R. Humphrey Dmd, P.a.'s National Provider Identifier is 1316950843, issued on Aug 14, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Goose Creek, SC. The record was last updated on Aug 22, 2020.