Individual
DR. JEFFREY CLAYTON KOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
846 SAINT ANDREWS BLVD STE C, CHARLESTON, SC 29407-7148
(843) 225-9002
(843) 225-6995
Mailing address
742 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7169
(843) 225-9002
(843) 225-6995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21510
MA
122300000X
Dentist
Primary
4051
SC
122300000X
Dentist
DN 17876
FL
Other
Enumeration date
04/04/2007
Last updated
02/05/2024
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