Organization
DEATON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN RHETT DEATON (DENTIST)
(706) 498-7330
Entity
Organization
Contact information
Practice address
209 W 5TH NORTH ST, SUMMERVILLE, SC 29483-6511
(843) 873-3706
Mailing address
209 W 5TH NORTH STREET, SUMMERVILLE, SC 29483
(843) 873-3706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8729
SC
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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