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Organization
LOWCOUNTRY ORAL SURGERY
Active
Organization
LOWCOUNTRY ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO SLATER DDS (OWNER)
(865) 381-8867
Entity
Organization
Contact information
Practice address
846 SAINT ANDREWS BLVD STE B, CHARLESTON, SC 29407-7148
(843) 604-4558
(864) 403-7537
Mailing address
846 SAINT ANDREWS BLVD STE B, CHARLESTON, SC 29407-7148
(843) 604-4558
(864) 403-7537
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/14/2026
Last updated
09/14/2026
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