Organization
MICHAEL E PIEPENBRING DMD MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EUGENE PIEPENBRING DMD MS (PRESIDENT)
(843) 546-0173
Entity
Organization
Contact information
Practice address
1109 MEMORIAL LANE, SUITE B, GEORGETOWN, SC 29440
(843) 546-0173
(843) 545-8343
Mailing address
1109 MEMORIAL LANE, SUITE B, GEORGETOWN, SC 29440
(843) 546-0173
(843) 545-8343
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0522
SC
1223P0300X
Periodontics
0338
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912188525
—
SC
05
—
ZA9782
—
SC
Enumeration date
08/31/2006
Last updated
08/07/2008
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