Organization
SHEM CREEK DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALAN BREAULT (DMD)
(843) 884-5161
Entity
Organization
Contact information
Practice address
211 SIMMONS ST, MOUNT PLEASANT, SC 29464-4347
(843) 884-5161
Mailing address
211 SIMMONS ST, MOUNT PLEASANT, SC 29464-4347
(843) 884-5161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8323
SC
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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