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Organization
D. BERGER DENTAL OF ELGIN P.A.
Active
Organization
D. BERGER DENTAL OF ELGIN P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEIDRE CROCKETT DMD (OWNER/DENTIST)
(803) 438-1347
Entity
Organization
Contact information
Practice address
2521 MAIN STREET, ELGIN, SC 29045
(803) 438-1347
Mailing address
PO BOX 1267, ELGIN, SC 29045-1267
(803) 438-1347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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