Distinctive Dentistry
Specialty details in registry · Irmo, SC
At a glance
11107 Broad River Rd, Irmo, SC 29063-7602
NPPES record updated Dec 5, 2007. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
11107 Broad River Rd Suite DIrmo, SC 29063-7602
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 1223G0001X
- Enumeration date
- Dec 5, 2007
- Record updated
- Dec 5, 2007
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
1223G0001X · Primary
License reported: 4114 SC
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
11107 Broad River RdSuite D
Irmo, SC 29063-7602
- Phone
- (803) 749-3980
- Fax
- (803) 749-3981
Mailing address
11107 BROAD RIVER RDSUITE D
IRMO, SC 290637602
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
Report a directory issue