Individual
DR. BRENT G BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15 21ST AVE, ISLE OF PALMS, SC 29451-2384
(843) 886-6461
(846) 886-3957
Mailing address
15 21ST AVE, ISLE OF PALMS, SC 29451-2384
(843) 886-6461
(843) 886-3957
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3539
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3539
—
SC
Enumeration date
09/12/2006
Last updated
05/02/2011
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