Organization
DEBORAH A. ASHCRAFT, D.M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIAN D PETERSON (OFFICE MANAGER)
(803) 279-9901
Entity
Organization
Contact information
Practice address
460 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-3106
(803) 279-9901
(803) 279-9215
Mailing address
460 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-3106
(803) 279-9901
(803) 279-9215
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
11318
GA
1223P0221X
Pediatric Dentistry
Primary
3364-461
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00707165B
—
GA
05
—
ZA9849
—
SC
Enumeration date
05/11/2006
Last updated
05/27/2008
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