Individual
DR. KEVIN B FADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2 CORPUS CHRISTIE PL, PROFESSIONAL BUILDING STE. 202, HILTON HEAD, SC 29928-1700
(843) 842-3555
(843) 341-3987
Mailing address
2 CORPUS CHRISTIE PL, PROFESSIONAL BUILDING STE. 202, HILTON HEAD, SC 29928-1700
(843) 842-3555
(843) 341-3987
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4235
SC
Other
Enumeration date
08/15/2005
Last updated
08/22/2007
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