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Organization
CHADWICK & KOLMODIN
Active
Organization
CHADWICK & KOLMODIN
Active
Other names
Modern Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN C CHADWICK DMD (OWNER/DENTIST)
(843) 744-6971
Entity
Organization
Contact information
Practice address
1818 REMOUNT RD, HANAHAN, SC 29410
(843) 744-6971
(843) 744-3120
Mailing address
1818 REMOUNT RD, HANAHAN, SC 29410
(843) 744-6971
(843) 744-3120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1206
SC
122300000X
Dentist
Primary
3252
SC
122300000X
Dentist
3436
SC
122300000X
Dentist
963
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z09633
—
SC
05
—
Z12068
—
SC
05
—
Z32527
—
SC
05
—
Z34368
—
SC
Enumeration date
12/12/2007
Last updated
12/12/2007
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