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General NPI Number Information
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NPI Number | 1831023993
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Entity Type | Organization
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Legal Business Name | GILES FAMILY DENTISTRY, P.C.
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 400 RUTLEDGE ST
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City | CAMDEN
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State | SC
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Zip | 29020-4423
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Country | US
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Telephone | 803-425-1157
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Fax |
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Provider Business Mailing Address
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Address Line | 400 RUTLEDGE ST
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City | CAMDEN
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State | SC
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Zip | 29020-4423
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Country | US
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Telephone | 803-425-1157
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Fax |
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Authorized Official
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Title or Position | DENTAL DIRECTOR
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Name | EDNA LAZETTA GILES-WILLIAMS
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Credential | DMD
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Telephone | 803-467-4529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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