Individual
MR. JEREMIAH MORRIS ALSTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1105 COOK RD, ORANGEBURG, SC 29118-8204
(803) 533-0411
(803) 533-1647
Mailing address
PO BOX 486, ORANGEBURG, SC 29116-0486
(803) 533-0411
(803) 533-1647
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2448
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZ2448
—
SC
Enumeration date
04/25/2007
Last updated
11/16/2012
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