Organization
TRIDENT DENTAL PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E LAYTON (OWNER)
(843) 552-2580
Entity
Organization
Contact information
Practice address
6335 DORCHESTER ROAD, CHARLESTON, SC 29418-5103
(843) 552-2580
Mailing address
6335 DORCHESTER RD, N CHARLESTON, SC 29418-5103
(843) 552-2580
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7027
SC
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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