Individual
KENNETH BRITT REAGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
401 W 4TH N STREET, SUMMERVILLE, SC 29483
(843) 871-4411
(843) 875-4508
Mailing address
401 W 4TH NORTH STREET, SUMMERVILLE, SC 29483
(843) 871-4411
(843) 875-4508
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
SC4177
SC
Other
Enumeration date
05/19/2008
Last updated
04/27/2020
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