Matthew Richard Carlisle, DMD
NPI #1639586456 in Indian Land, South Carolina
Provider Information
- NPI Number
- 1639586456
- Entity Type
- Individual
- Name
- Matthew Richard Carlisle, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jul 14, 2014
- Last Updated
- Nov 19, 2015
Practice Location
- Address
- 1028 EDGEWATER CORPORATE PKWY
- City
- Indian Land
- State
- South Carolina
- ZIP Code
- 29707
- Phone
- (803) 389-0197
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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