# PAWLEYS ISLAND PEDIATRIC DENTISTRY

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

## Provider details

- **NPI number:** 1366580276
- **Authorized official:** DR. MEREDITH LUCIUS PAPADEA DMD (PRESIDENT)
- **Authorized official phone:** (843) 235-0536

## Contact information

- **Practice address:** 9462 OCEAN HIGHWAY, PAWLEYS ISLAND, SC 29585
- **Practice address phone:** (843) 235-0536
- **Practice address fax:** (843) 237-8459
- **Mailing address:** 9462 OCEAN HWY, PO BOX 3595, PAWLEYS ISLAND, SC 29585
- **Mailing address phone:** (843) 235-0536
- **Mailing address fax:** (843) 237-8459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 3910 | SC | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZA9537 | — | SC |
