# ST STEPHEN FAMILY DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1730371873
- **Authorized official:** TRISTAN MILTON CORDRAY DMD (OWNER)
- **Authorized official phone:** (843) 567-2900

## Contact information

- **Practice address:** 1142 MAIN STREET, ST STEPHEN, SC 29479-3996
- **Practice address phone:** (843) 567-2900
- **Practice address fax:** (843) 567-2099
- **Mailing address:** PO BOX 1710, 1142 MAIN STREET, ST STEPHEN, SC 29479-3996
- **Mailing address phone:** (843) 567-2900
- **Mailing address fax:** (843) 567-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4328 | SC | Yes |

## Other

- **Enumeration date:** 08/13/2007
- **Last updated:** 08/13/2007