Individual
JOHN COMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
321 N LAUREL ST, SUMMERVILLE, SC 29483-6546
(843) 871-6636
(843) 747-9021
Mailing address
114 SCOTT ST, DANIEL ISLAND, SC 29492-7513
(843) 971-7071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1790 0321
SC
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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