Organization
LOWCOUNTRY DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA LYNN BLALOCK D.D.S. (DENTIST-PARTNER)
(843) 559-3530
Entity
Organization
Contact information
Practice address
3464 MAYBANK HWY, JOHNS ISLAND, SC 29455-4820
(844) 355-9353
(843) 559-2693
Mailing address
3464 MAYBANK HWY, JOHNS ISLAND, SC 29455-4820
(844) 355-9353
(843) 559-2693
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3158
SC
Other
Enumeration date
07/16/2006
Last updated
08/22/2020
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