Individual
ROBERT PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
902 COLEMAN BLVD, MT PLEASANT, SC 29464-4046
(843) 884-4340
Mailing address
902 COLEMAN BLVD, MT PLEASANT, SC 29464-4046
(843) 884-4340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8755
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8755
DENTAL LICENSE NUMBER
SC
Enumeration date
07/20/2016
Last updated
07/20/2016
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