Lake Moultrie Dental Llc is a renowned Dental office in Moncks Corner, South Carolina. It is located at 205 Carolina Ave, Moncks Corner, SC and its contact number is 843-761-8720. The authorized person for Lake Moultrie Dental Llc is Dr. Brian Lewis Jaques
who is Owner/dentist of the place and their contact number is 843-761-8720.
Lake Moultrie Dental Llc Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Lake Moultrie Dental Llc Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lake Moultrie Dental Llc
Specialization:
Dentistry
Address:
205 Carolina Ave, Moncks Corner, South Carolina, 29461-3736
Phone:
843-761-8720
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Brian Lewis Jaques
Position:
Owner/dentist
Contact Number:
843-761-8720
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 Lake Moultrie Dental Llc Office are as mentioned below.
NPI Number:
1013482603
NPI Enumeration Date:
10 Oct, 2018
NPI Last Update On:
10 Oct, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Moultrie Dental Llc are as mentioned below.
Specialization
License Number
State
Status
Dental
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the Office such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
ZX8370
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:
Lake Moultrie Dental Llc 205 Carolina Ave, Moncks Corner, South Carolina
Zip:
29461-3736
Phone Number:
843-761-8720
Patients can reach Lake Moultrie Dental Llc at 205 Carolina Ave, Moncks Corner, South Carolina or can call to book an appointment on 843-761-8720. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.