# PLANTATION FAMILY DENTALCARE

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

## Provider details

- **NPI number:** 1538603303
- **Authorized official:** ERIC E RADABAUGH MBA (DIRECTOR)
- **Authorized official phone:** (843) 364-6695

## Contact information

- **Practice address:** 1859 SAVAGE RD, CHARLESTON, SC 29407-4726
- **Practice address phone:** (843) 722-5733
- **Mailing address:** 1859 SAVAGE RD, CHARLESTON, SC 29407-4726
- **Mailing address phone:** (843) 722-5733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8533 | SC | Yes |

## Other

- **Enumeration date:** 12/13/2016
- **Last updated:** 12/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 8533 | SC BOARD OF DENTISTRY | SC |