Organization
FORDING ISLAND DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY CASTLE (DIRECTOR OF PAYOR CONTRACTS)
(912) 732-1504
Entity
Organization
Contact information
Practice address
201 OKATIE VILLAGE DR SUITE 4, OKATIE, SC 29909
(843) 489-8463
Mailing address
306 CANOPY COURT, OKATIE, SC 29909
(843) 489-8463
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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