Individual
DR. STEVEN RUSSELL BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6518 DORCHESTER RD, SUITE A, NORTH CHARLESTON, SC 29418-5100
(843) 767-1809
(843) 767-9244
Mailing address
140 BEAVERTON CT, SUMMERVILLE, SC 29485-6011
(843) 873-7005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2773
SC
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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