Individual
RICHARD EDWARD FETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14 OAK FOREST RD STE F, BLUFFTON, SC 29910-4988
(843) 757-0504
Mailing address
13 LEXINGTON DR, BLUFFTON, SC 29910-4816
(843) 757-6690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3472
SC
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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