Individual
DR. KATHRYN STROUD BULLWINKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
405 W 5TH NORTH ST STE A, SUMMERVILLE, SC 29483-6515
(843) 821-6433
(843) 821-6432
Mailing address
405 W 5TH NORTH ST STE A, SUMMERVILLE, SC 29483-6515
(843) 821-6433
(843) 821-6432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028771
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8360
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8360
DENTAL SPECIALTY LICENSE
SC
Enumeration date
08/22/2012
Last updated
07/21/2022
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