Individual
DR. RANDALL JAMES PAGENKOPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
757 LONG POINT RD # A, MT PLEASANT, SC 29464-8226
(843) 971-6221
(843) 971-3810
Mailing address
757 LONG POINT RD # A, MT PLEASANT, SC 29464-8226
(843) 971-6221
(843) 971-3810
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3546
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z35463
—
SC
Enumeration date
10/25/2006
Last updated
07/08/2007
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