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Organization

WOOLEY FAMILY DENTISTRY

Active
Other names
Amanda Gregory Family Cosmetic Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA A WEBSTER (OFFICE MANAGER)
(843) 871-9924
Entity
Organization

Contact information

Practice address
1223 BOONEHILL RD, SUMMERVILLE, SC 29483
(843) 871-9924
(843) 871-9928
Mailing address
7455 CROSS COUNTRY RD, SUITE #4, SUMMERVILLE, SC 29483
(843) 552-4771
(843) 552-6192

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223G0001X
General Practice Dentistry

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8338
SC
Enumeration date
06/11/2007
Last updated
06/17/2020
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