Organization
SHANNON M. PYE, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON MORRIS PYE DMD (OWNER)
(843) 549-5913
Entity
Organization
Contact information
Practice address
664 HIERS CORNER RD, WALTERBORO, SC 29488-2897
(843) 549-5913
(843) 549-5193
Mailing address
PO BOX 488, WALTERBORO, SC 29488-0005
(843) 549-5913
(843) 549-5193
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3282
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9652SC
—
SC
05
—
ZX3282SC
—
SC
Enumeration date
07/24/2007
Last updated
07/24/2007
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