Organization
DESTINATION DENTAL OF DUNCAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRANJAN SAVANI DMD (OWNER)
(215) 550-4590
Entity
Organization
Contact information
Practice address
155 DEACON TILLER CT, DUNCAN, SC 29334-8880
(864) 485-2214
(864) 485-2215
Mailing address
401 COMMERCE DR STE 108, FORT WASHINGTON, PA 19034-2724
(215) 550-4590
(215) 646-6166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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