Periodontal Associates LLC
NPI #1013288786 in Charleston, South Carolina
Provider Information
- NPI Number
- 1013288786
- Entity Type
- Organization
- Organization Name
- Periodontal Associates LLC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jan 26, 2012
- Last Updated
- Jan 26, 2012
Practice Location
- Address
- 33 GAMECOCK AVE STE A
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29407-3397
- Phone
- (843) 571-0853
Authorized Official
- Name
- DR. EDWARD THOMAS MURPHY, DMD
- Title
- MEMBER
- Phone
- (843) 571-0853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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