DR. Jennie O Reardon, DMD
NPI #1568895357 in Ladson, South Carolina
Provider Information
- NPI Number
- 1568895357
- Entity Type
- Individual
- Name
- DR. Jennie O Reardon, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Aug 15, 2013
- Last Updated
- Sep 20, 2013
Practice Location
- Address
- 9565 HIGHWAY 78
- Address 2
- UNIT 600B
- City
- Ladson
- State
- South Carolina
- ZIP Code
- 29456-4118
- Phone
- (843) 412-4036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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