Individual
DR. ANDREW JOSEPH PONTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
122A S GOOSE CREEK BLVD, GOOSE CREEK, SC 29445-3136
(843) 764-3081
Mailing address
122A S GOOSE CREEK BLVD, GOOSE CREEK, SC 29445-3136
(843) 764-3081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8745
SC
Other
Enumeration date
07/06/2015
Last updated
11/03/2017
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