Organization
PEE DEE PEDIATRIC DENTISTRY
Active
Parent organization
PEE DEE PEDIATRIC DENTISTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEE DEE PEDIATRIC DENTISTY
Authorized official
DR. RICHARD HARTWELL BRYANT JR. DMD (DENTIST)
(843) 667-6660
Entity
Organization
Contact information
Practice address
1423 ALICE DR, FLORENCE, SC 29505-2660
(843) 667-6660
(843) 661-0836
Mailing address
1423 ALICE DR, FLORENCE, SC 29505-2660
(843) 667-6660
(843) 661-0836
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2248
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9697
—
SC
Enumeration date
03/05/2007
Last updated
02/20/2012
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