Organization
DR. TRACI C. LENNON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACI C. LENNON D.M.D. (DENTIST)
(843) 873-1202
Entity
Organization
Contact information
Practice address
512 N PINE ST, SUMMERVILLE, SC 29483-6555
(843) 873-1202
(843) 873-4962
Mailing address
512 N PINE ST, SUMMERVILLE, SC 29483-6555
(843) 873-1202
(843) 873-4962
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3037
SC
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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