Brent R. Humphrey Dmd, P.a. is a Pediatric Dental Clinic in Goose Creek, South Carolina. It is located at 103 Springhall Dr, Goose Creek, SC and its contact number is 843-797-2000. The authorized person for Brent R. Humphrey Dmd, P.a. is Dr. Brent R. Humphrey
who is Owner of the clinic and their contact number is 843-797-2000. The primary license number for Brent R. Humphrey Dmd, P.a. is 2872 (Pediatric Dentistry) in South Carolina. Brent R. Humphrey Dmd, P.a. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Brent R. Humphrey Dmd, P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Brent R. Humphrey Dmd, P.a.
Specialization:
Pediatric Dentistry
Clinic Address:
103 Springhall Dr, Goose Creek, South Carolina, 29445-5336
Phone:
843-797-2000
Fax:
843-797-8826
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Brent R. Humphrey
Position:
Owner
Contact Number:
843-797-2000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Brent R. Humphrey Dmd, P.a. clinic are as mentioned below.
NPI Number:
1316950843
NPI Enumeration Date:
14 Aug, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brent R. Humphrey Dmd, P.a. are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
2872
South Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
ZA 9522
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Brent R. Humphrey Dmd, P.a. 103 Springhall Dr, Goose Creek, South Carolina
Zip:
29445-5336
Phone Number:
843-797-2000
Fax Number:
843-797-8826
Patients can reach Brent R. Humphrey Dmd, P.a. at 103 Springhall Dr, Goose Creek, South Carolina or can call to book an appointment on 843-797-2000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.