Organization
TGD-SUMMERVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC JAMES LAYTON DENTIST (DENTIST)
(843) 552-2580
Entity
Organization
Contact information
Practice address
604-A NEXTON SQUARE DR, SUMMERVILLE, SC 29486
(843) 552-2580
(843) 871-0453
Mailing address
604-A NEXTON SQUARE DR, SUMMERVILLE, SC 29486
(843) 552-2580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/30/2019
Last updated
10/30/2019
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