Organization
SEASIDE PEDIATRIC DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW TILLMAN DDS (CO-OWNER)
(843) 651-5437
Entity
Organization
Contact information
Practice address
4410 HIGHWAY 17 UNIT B6, MURRELLS INLET, SC 29576
(423) 741-9078
Mailing address
4410 HIGHWAY 17 UNIT B6, MURRELLS INLET, SC 29576-6434
(423) 741-9078
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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