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Organization

B. RYAN FLEMING, DDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANELL CARLOW (BUS MGR)
(843) 722-8500
Entity
Organization

Contact information

Practice address
14 LOCKWOOD DR, SUITE A, CHARLESTON, SC 29401-1126
(843) 722-8500
(843) 720-8555
Mailing address
14 LOCKWOOD DR, SUITE A, CHARLESTON, SC 29401-1126
(843) 722-8500
(843) 720-8555

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1313
SC
122300000X
Dentist
Primary
4689
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Z-1313
SC
05
ZX-4689
SC
Enumeration date
08/23/2010
Last updated
08/23/2010
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