Organization
CHARLESTON IMPLANT & SEDATION DENTISTRY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN N. GILREATH (OWNER)
(843) 810-0109
Entity
Organization
Contact information
Practice address
124 S GOOSE CREEK BLVD STE D, GOOSE CREEK, SC 29445-3136
(843) 501-1965
Mailing address
122A S GOOSE CREEK BLVD, GOOSE CREEK, SC 29445-3136
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us