Trident Dental Associates, LLC
NPI #1053083154 in Charleston, South Carolina
Provider Information
- NPI Number
- 1053083154
- Entity Type
- Organization
- Organization Name
- Trident Dental Associates, LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Sep 28, 2021
- Last Updated
- Aug 29, 2023
Practice Location
- Address
- 9228 MEDICAL PLAZA DR
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29406-9125
- Phone
- (843) 574-5693
Authorized Official
- Name
- WILLIAM TEDERICK JOHNSON
- Title
- GROUP VICE PRESIDENT/AO
- Phone
- (615) 372-3375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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