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Organization
SHANNON M. PYE, DMD, PA
Active
Organization
SHANNON M. PYE, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON MORRIS PYE DMD (OWNER)
(843) 549-5913
Entity
Organization
Contact information
Practice address
664 HIERS CORNER RD, WALTERBORO, SC 29488-2897
(843) 549-5913
(843) 549-5193
Mailing address
PO BOX 488, WALTERBORO, SC 29488-0005
(843) 549-5913
(843) 549-5193
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3282
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9652SC
—
SC
05
—
ZX3282SC
—
SC
Enumeration date
07/24/2007
Last updated
07/24/2007
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