Southern Tides Dental
NPI #1023993912 in Mt Pleasant, South Carolina
Provider Information
- NPI Number
- 1023993912
- Entity Type
- Organization
- Organization Name
- Southern Tides Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 8, 2025
- Last Updated
- Aug 8, 2025
Practice Location
- Address
- 1701 BEAUCASTLE RD STE B
- City
- Mt Pleasant
- State
- South Carolina
- ZIP Code
- 29464-3685
- Phone
- (843) 258-8604
Authorized Official
- Name
- HOLLIE A FOUST, DA
- Title
- COACH
- Phone
- (803) 322-6020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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