Organization
MERRELL C. STILL JR. DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA S. BROWN (OFFICE MANAGER)
(803) 259-1124
Entity
Organization
Contact information
Practice address
10982 ELLENTON ST, BARNWELL, SC 29812-7304
(803) 259-1124
(803) 259-9801
Mailing address
10982 ELLENTON ST, BARNWELL, SC 29812-7304
(803) 259-1124
(803) 259-9801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3022
SC
122300000X
Dentist
4609
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z30229
—
SC
Enumeration date
09/14/2009
Last updated
09/14/2009
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