# SFD MT. PLEASANT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** A. FREDERICK SOLOMON DMD P.A.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457994196
- **Legal business name:** A. FREDERICK SOLOMON DMD P.A.
- **Authorized official:** ANGELA E BAZZLE (OPERATIONS MANAGER)
- **Authorized official phone:** (843) 871-0842

## Contact information

- **Practice address:** 3102 N HIGHWAY 17, MOUNT PLEASANT, SC 29466-6925
- **Practice address phone:** (843) 871-0842
- **Mailing address:** 1971 N MAIN ST, SUMMERVILLE, SC 29486-7890
- **Mailing address phone:** (843) 871-0842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2019
- **Last updated:** 02/04/2021