Individual
TYLER GRANT ALDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
124 S GOOSE CREEK BLVD STE D, GOOSE CREEK, SC 29445-3136
(843) 261-2001
Mailing address
555 ALDERLY DRIVE, MONCKS CORNER, SC 29461
(304) 617-8383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9143
SC
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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