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Organization
LOWCOUNTRY CENTER FOR PROSTHODONTIC CARE
Active
Organization
LOWCOUNTRY CENTER FOR PROSTHODONTIC CARE
Active
Other names
Lowcountry Prosthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGIL VACAREAN DMD (DENTIST)
(843) 706-3800
Entity
Organization
Contact information
Practice address
25 CLARK SUMMIT DR, BLUFFTON, SC 29910-4205
(843) 706-3800
(843) 706-3802
Mailing address
25 CLARK SUMMIT DR, BLUFFTON, SC 29910-4205
(843) 706-3800
(843) 706-3802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3764
SC
1223P0700X
Prosthodontics
Primary
0585
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3764
—
SC
Enumeration date
09/27/2006
Last updated
09/11/2025
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