Organization
CHILDREN'S DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C BEALL D.D.S (PRESIDENT)
(843) 797-1118
Entity
Organization
Contact information
Practice address
7465 NORTHSIDE DR, NORTH CHARLESTON, SC 29420-4209
(843) 797-5400
(843) 797-5164
Mailing address
7465 NORTHSIDE DR, NORTH CHARLESTON, SC 29420-4209
(843) 797-5400
(843) 797-5164
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9998
—
SC
Enumeration date
05/03/2006
Last updated
08/22/2020
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