Organization
ACUITY DENTAL - SDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNI TOMLINSON (CREDENTIALING SPECIALIST)
(678) 986-7116
Entity
Organization
Contact information
Practice address
216 MYERS RD STE A, SUMMERVILLE, SC 29486-8819
(843) 261-2001
(843) 261-2002
Mailing address
216 MYERS RD STE A, SUMMERVILLE, SC 29486-8819
(843) 261-2001
(843) 261-2002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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