Individual
HELEN BLYTHE PROVENZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1554 CENTRAL AVE STE B, SUMMERVILLE, SC 29483-5593
(854) 264-7270
Mailing address
1871 ASHLEY RIVER RD APT 4308, CHARLESTON, SC 29407-8723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11446
SC
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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