Individual
DR. SHMUEL DABUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
996 TANNER FORD BLVD, HANAHAN, SC 29410-4780
(843) 212-8810
Mailing address
1617 DRYDEN LN, CHARLESTON, SC 29407-3907
(843) 801-4264
(843) 343-8173
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10148
SC
122300000X
Dentist
9970
KY
1223G0001X
General Practice Dentistry
9970
KY
1223P0221X
Pediatric Dentistry
Primary
10284
SC
Other
Enumeration date
06/18/2017
Last updated
07/08/2022
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