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Organization

EG DMD, LLC

Active
Other names
Hampton Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMERSON F GOWER III DMD (OWNER/DENTIST)
(803) 943-4895
Entity
Organization

Contact information

Practice address
649 W CAROLINA AVE, VARNVILLE, SC 29944-4757
(803) 943-4895
Mailing address
23 GREETERS LN, BLUFFTON, SC 29909-7027
(843) 621-1104

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7047
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZX7047
SC
Enumeration date
12/12/2017
Last updated
12/12/2017
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