is a Dental Clinic in Goose Creek, South Carolina. It is located at 102 Springhall Dr, Goose Creek, SC and its contact number is 843-572-8009. The authorized person for is Hannah Fish
who is Credentialing Manager of the clinic and their contact number is 217-540-5699. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
102 Springhall Dr, Goose Creek, South Carolina, 29445-5335
Phone:
843-572-8009
Fax:
843-377-0509
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:
Hannah Fish
Position:
Credentialing Manager
Contact Number:
217-540-5699
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 clinic are as mentioned below.
NPI Number:
1982726600
NPI Enumeration Date:
04 Apr, 2007
NPI Last Update On:
21 Jun, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
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
ZX3808
Medicaid
South Carolina
1393195
Other
South Carolina
United Concordia
ZA9634
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:
102 Springhall Dr, Goose Creek, South Carolina
Zip:
29445-5335
Phone Number:
843-572-8009
Fax Number:
843-377-0509
Patients can reach at 102 Springhall Dr, Goose Creek, South Carolina or can call to book an appointment on 843-572-8009. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.