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NPI Code Detail

MEDICARE: ROBERT PAINTER DMD

MEDICARE:   ROBERT  PAINTER  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry8755SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18755OTHERSCDENTAL LICENSE NUMBER

General Provider Information

NPI Number : 1902259369
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT PAINTER DMD
Provider Business Mailing Address
First Line : 902 COLEMAN BLVD
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-4046
Country : US
Telephone Number : 843-884-4340
Fax Number :
Provider Business Practice Location Address
First Line : 902 COLEMAN BLVD
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-4046
Country : US
Telephone Number : 843-884-4340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2016
Last Update Date : 07/20/2016

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Directions to “ ROBERT PAINTER DMD” Practice Location

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