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Organization
TIDEWATER DENTISTRY, PA
Active
Organization
TIDEWATER DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES REED WILLIAMSON DMD (PRESIDENT)
(843) 873-1646
Entity
Organization
Contact information
Practice address
502 N PINE ST, SUMMERVILLE, SC 29483-6555
(843) 871-5394
Mailing address
503 N PINE ST, SUMMERVILLE, SC 29483-6554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
01/13/2021
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