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General NPI Number Information
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NPI Number | 1841554441
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Entity Type | Organization
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Legal Business Name | DENTAL HOLDINGS PC
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 2020 SAVANNAH HWY
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City | CHARLESTON
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State | SC
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Zip | 29407-6286
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Country | US
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Telephone | 843-614-6747
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Fax | 866-345-3754
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Provider Business Mailing Address
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Address Line | 3527 MARY ADER AVE
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City | CHARLESTON
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State | SC
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Zip | 29414-5862
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Country | US
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Telephone | 843-735-6727
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Fax | 866-345-3754
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Authorized Official
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Title or Position | HEAD OF DENTAL OPERATIONS
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Name | DR. JAMES ERIC LAYTON
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Credential | DDS
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Telephone | 843-614-6747
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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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