# CORNERSTONE CHILDREN'S DENTISTRY, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346464674
- **Authorized official:** DR. PAUL A GALLOWAY D.M.D. (DENTIST)
- **Authorized official phone:** (843) 556-1655

## Contact information

- **Practice address:** 2075-A CHARLIE HALL BLVD., CHARLESTON, SC 29414-5834
- **Practice address phone:** (843) 556-1655
- **Practice address fax:** (843) 556-1656
- **Mailing address:** 2075-A CHARLIE HALL BLVD., CHARLESTON, SC 29414-5834
- **Mailing address phone:** (843) 556-1655
- **Mailing address fax:** (843) 556-1656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 3956 | SC | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZX3956 | — | SC |