Individual
DR. REBEKAH GOULD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1807 CROWNE COMMONS WAY, SUITE F10, JOHNS ISLAND, SC 29455
(843) 823-3533
Mailing address
1807 CROWNE COMMONS WAY STE F10, JOHNS ISLAND, SC 29455-4931
(843) 823-3533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9492
SC
1223G0001X
General Practice Dentistry
9492
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9678
SC
Other
Enumeration date
02/03/2020
Last updated
01/02/2023
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