Stockton Family & Cosmetic Dentistry PA
NPI #1124118088 in Columbia, South Carolina
Provider Information
- NPI Number
- 1124118088
- Entity Type
- Organization
- Organization Name
- Stockton Family & Cosmetic Dentistry PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Jun 2, 2008
Practice Location
- Address
- 5219 TWO NOTCH RD
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29204
- Phone
- (803) 735-9446
Authorized Official
- Name
- DR. CLYDE STOCKTON
- Title
- PRESIDENT
- Phone
- (803) 735-9446
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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