Organization
GLENNS BAY DENTAL ASSOCIATES LLC
Active
Other names
Raymond E. Cleary, III
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH HAL CAPPS JR. D.M.D. (CO-OWNER)
(843) 650-5100
Entity
Organization
Contact information
Practice address
1625 GLENNS BAY RD, SURFSIDE BEACH, SC 29575-4836
(843) 650-5100
(843) 650-0689
Mailing address
1625 GLENNS BAY RD, SURFSIDE BEACH, SC 29575-4836
(843) 650-5100
(843) 650-0689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
75363
SC
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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