Organization · Type 2 NPI

Head Dental Associates

Dental Clinic/Center · Charleston, SC

NPI number 1962830216 Active

Practice location

1483 Tobias Gadson Blvd, Suite 105
Charleston, SC 29407-8702

Fax (843) 556-4325

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X8070 (SC)

Dental Clinic/Center: Definition to come...

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About NPI 1962830216

Head Dental Associates's National Provider Identifier is 1962830216, issued on Oct 24, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Charleston, SC. The record was last updated on Oct 24, 2013.