Organization
SFD KNIGHTSVILLE LLC
Active
Parent organization
A. FREDERICK SOLOMON DMD P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
A. FREDERICK SOLOMON DMD P.A.
Authorized official
ANGELA BAZZLE (OPERATIONS MANAGER)
(843) 871-0842
Entity
Organization
Contact information
Practice address
497 W BUTTERNUT RD, SUMMERVILLE, SC 29483-5585
(843) 871-0842
Mailing address
1971 N MAIN ST, SUMMERVILLE, SC 29486-7890
(843) 871-0842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX8553
—
SC
Enumeration date
01/15/2019
Last updated
03/24/2025
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