Individual
COREY EISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
437 BAUSKETT ST, EDGEFIELD, SC 29824-4501
(803) 232-7346
Mailing address
1519 WHITNEY ST, AUGUSTA, GA 30904-6217
(949) 280-7787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11190
SC
122300000X
Dentist
DN123500
GA
Other
Enumeration date
02/15/2024
Last updated
09/30/2025
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