Organization
RINEHART DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE A BENTON (OFFICE MANAGER)
(843) 545-1295
Entity
Organization
Contact information
Practice address
419 WOOD ST, GEORGETOWN, SC 29440-3579
(843) 545-1295
(843) 461-1345
Mailing address
419 WOOD STREET, GEORGETOWN, SC 29440
(843) 545-1295
(843) 461-1345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6915
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX6915
—
SC
Enumeration date
09/05/2013
Last updated
09/05/2013
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