Individual
AMANDA MARIE BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1135 MUHLENBERGIA DR STE 101, MOUNT PLEASANT, SC 29466-8405
(843) 654-1082
Mailing address
1485 PUTNAM DR, CHARLESTON, SC 29412-8255
(843) 446-2234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10115.GD
SC
Other
Enumeration date
04/28/2021
Last updated
06/23/2022
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