# KIDZ PLANET PEDIATRIC DENTISTRY, PA

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

## Provider details

- **NPI number:** 1629415674
- **Authorized official:** DR. DENISE CARROLL SWASTY DDS, MS (PRESIDENT/DENTIST)
- **Authorized official phone:** (843) 405-4463

## Contact information

- **Practice address:** 494 SAVANNAH HWY, CHARLESTON, SC 29407-7275
- **Practice address phone:** (843) 405-4463
- **Practice address fax:** (843) 879-9155
- **Mailing address:** 494 SAVANNAH HWY, CHARLESTON, SC 29407-7275
- **Mailing address phone:** (843) 405-4463
- **Mailing address fax:** (843) 879-9155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 4439 | SC | Yes |

## Other

- **Enumeration date:** 05/31/2013
- **Last updated:** 05/31/2013