Individual
DR. JOHN ANTHONY JOSEPH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
632 FRONT ST, GEORGETOWN, SC 29440-3624
(843) 546-5994
(843) 546-4084
Mailing address
107 HIGHMARKET ST, GEORGETOWN, SC 29440-3787
(843) 546-5994
(843) 546-4084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2114
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
933768
—
SC
Enumeration date
11/28/2006
Last updated
07/08/2007
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