Organization
INLET PREMIER IMPLANT & COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAUREAN JERMAINE HODGES DDS (GENERAL DENTIST)
(843) 421-3198
Entity
Organization
Contact information
Practice address
9356 HIGHWAY 17 BYP, SUITE C, MURRELLS INLET, SC 29576-9328
(843) 421-3198
(188) 490-5080
Mailing address
9356 HIGHWAY 17 BYP, SUITE C, MURRELLS INLET, SC 29576-9328
(843) 421-3198
(188) 490-5080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4675
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4675
—
SC
Enumeration date
07/23/2015
Last updated
07/23/2015
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