Carolina Avenue Dental
NPI #1023116019 in Moncks Corner, South Carolina
Provider Information
- NPI Number
- 1023116019
- Entity Type
- Organization
- Organization Name
- Carolina Avenue Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 214 CAROLINA AVENUE
- City
- Moncks Corner
- State
- South Carolina
- ZIP Code
- 29461
- Phone
- (843) 899-5911
Authorized Official
- Name
- GLORIA B PIPKIN, DMD
- Title
- PRESIDENT
- Phone
- (843) 899-5911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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