Healthcare Provider Details

I. General information

NPI: 1194877175
Provider Name (Legal Business Name): S. MICHAEL THURMAN, DMD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 TWO ISLAND CT UNIT 101
MOUNT PLEASANT SC
29466-7405
US

IV. Provider business mailing address

1203 TWO ISLAND CT UNIT 101
MOUNT PLEASANT SC
29466-7405
US

V. Phone/Fax

Practice location:
  • Phone: 843-884-6166
  • Fax: 843-884-1140
Mailing address:
  • Phone: 843-884-6166
  • Fax: 843-884-1140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number1834
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number3170
License Number StateSC

VIII. Authorized Official

Name: DR. SEABORN MICHAEL THURMAN
Title or Position: OWNER
Credential: DMD
Phone: 843-884-6166