Organization
PAWLEYS ISLAND PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEREDITH LUCIUS PAPADEA DMD (PRESIDENT)
(843) 235-0536
Entity
Organization
Contact information
Practice address
9462 OCEAN HIGHWAY, PAWLEYS ISLAND, SC 29585
(843) 235-0536
(843) 237-8459
Mailing address
9462 OCEAN HWY, PO BOX 3595, PAWLEYS ISLAND, SC 29585
(843) 235-0536
(843) 237-8459
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3910
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9537
—
SC
Enumeration date
02/02/2007
Last updated
08/22/2020
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