Individual
DR. STEPHEN F TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3012 NEWCASTLE LOOP, MYRTLE BEACH, SC 29588-4501
(843) 215-2599
(843) 215-0238
Mailing address
3012 NEWCASTLE LOOP, MYRTLE BEACH, SC 29588-4501
(843) 215-2599
(843) 215-0238
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4159
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4159
—
SC
Enumeration date
06/23/2006
Last updated
02/04/2008
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