Individual
DR. JASON ERVIN PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1051 JOHNNIE DODDS BLVD STE A, MOUNT PLEASANT, SC 29464-3100
(843) 388-9690
(843) 388-9703
Mailing address
1051 JOHNNIE DODDS BLVD STE A, MOUNT PLEASANT, SC 29464-3100
(843) 388-9690
(843) 388-9703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4379
SC
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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