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Organization
PEELE DENTAL
Active
Organization
PEELE DENTAL
Active
Other names
Cooper Cosmetic and Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA PEELE DDS (DENTIST, OWNER)
(919) 360-6882
Entity
Organization
Contact information
Practice address
4830 CHATEAU AVE, NORTH CHARLESTON, SC 29405-4806
(919) 360-6882
Mailing address
1110 NORTH BLVD, NORTH CHARLESTON, SC 29405-4315
(919) 360-6882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174917629
PEELE NPI 1
SC
Enumeration date
08/28/2019
Last updated
08/28/2019
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