Organization
ROBERT E DEANE, DMD, MS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EDWIN DEANE DMD (PRESIDENT)
(843) 546-4416
Entity
Organization
Contact information
Practice address
301 CHURCH ST, GEORGETOWN, SC 29440-2405
(843) 546-4416
Mailing address
301 CHURCH ST, GEORGETOWN, SC 29440-2405
(843) 546-4416
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2634
SC
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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