Individual
DR. TREVAN SAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3540 PARK AVE BLVD, SUITE 102, MT PLEASANT, SC 29466
(843) 800-2870
(843) 606-5223
Mailing address
22 WESTEDGE ST STE 106B, CHARLESTON, SC 29403-6983
(843) 642-8100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI02655300
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9591
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS041625
PA
Other
Enumeration date
06/01/2018
Last updated
05/11/2023
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