Organization
STOCKTON FAMILY & COSMETIC DENTISTRY PA
Active
Other names
Stockton Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUGES F STOCKTON DDS (VICE PRESIDENT)
(803) 735-5446
Entity
Organization
Contact information
Practice address
5219 TWO NOTCH ROAD, COLUMBIA, SC 29204
(803) 735-9446
(803) 735-9813
Mailing address
5219 TWO NOTCH ROAD, COLUMBIA, SC 29204
(803) 735-9446
(803) 735-9813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3901
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3901
—
SC
Enumeration date
10/13/2006
Last updated
05/13/2008
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