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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DISTINCTIVE DENTISTRY

Active Organization

DISTINCTIVE DENTISTRY is a General Dentistry organization located in IRMO, South Carolina. NPI 1760664304 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · IRMO, SC

Registration Details

NPI Number
1760664304
Provider Type
Organization
NPI Issued
Dec 5, 2007 (18.696591246152 yrs)
Last Updated
Dec 5, 2007
License
4114 (SC)

Practice Information

Address
11107 BROAD RIVER RD
SUITE D
IRMO, SC, 290637602
Browse SC providers · Browse ZIP 29063
Phone
8037493980
Fax
8037493981
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.