Healthcare Provider Details

I. General information

NPI: 1730150145
Provider Name (Legal Business Name): THOMAS FRANK FIGLIORELLI JR. DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 LONG POINT RD SUITE D
MT PLEASANT SC
29464-8226
US

IV. Provider business mailing address

757 LONG POINT RD SUITE D
MT PLEASANT SC
29464-8226
US

V. Phone/Fax

Practice location:
  • Phone: 843-881-1418
  • Fax:
Mailing address:
  • Phone: 843-881-1418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number3383
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: