Individual
DR. CHAD MICHAEL NOVINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D., PH.D
Contact information
Practice address
109 BEE ST, DENTAL - ROUTING CODE 160, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
173 ASHLEY AVE, BSB - ROOM 241, CHARLESTON, SC 29425-5070
(843) 792-0203
(843) 792-6626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020500
MI
122300000X
Dentist
DN014734
GA
1223P0300X
Periodontics
Primary
8335 SP-(PERIO) 838
SC
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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