Organization
LOWCOUNTRY CENTER FOR PROSTHODONTIC CARE
Active
Other names
Lowcountry Prosthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGIL VACAREAN DMD (DENTIST)
(843) 706-3800
Entity
Organization
Contact information
Practice address
25 CLARK SUMMIT DR, BLUFFTON, SC 29910-4205
(843) 706-3800
(843) 706-3802
Mailing address
25 CLARK SUMMIT DR, BLUFFTON, SC 29910-4205
(843) 706-3800
(843) 706-3802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3764
SC
1223P0700X
Prosthodontics
Primary
0585
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3764
—
SC
Enumeration date
09/27/2006
Last updated
09/11/2025
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