Individual
DR. DOROTHY ELLAN KNUPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1040 5TH AVE, CHARLESTON, SC 29407-6106
(843) 345-1220
Mailing address
1040 5TH AVE, CHARLESTON, SC 29407-6106
(843) 345-1220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC 2075
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373338
—
SC
Enumeration date
02/19/2007
Last updated
03/20/2013
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