Individual
ALEXIS PICKENS COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1774 DUTCH FORK RD, IRMO, SC 29063-8829
(803) 772-7302
(803) 772-7353
Mailing address
1774 DUTCH FORK RD, IRMO, SC 29063-8829
(803) 772-7302
(803) 772-7353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4507
SC
1223P0221X
Pediatric Dentistry
Primary
4507
SC
Other
Enumeration date
08/13/2008
Last updated
12/30/2022
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