NPI 1104583343 · live from the CMS NPI Registry
Foster Orthodontics, PA
Dentist, Orthodontics and Dentofacial Orthopedics in Summerville, SC. National Provider Identifier 1104583343, active.
NPI record
| NPI | 1104583343 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 953 Orangeburg Rd Ste A, Summerville, SC 29483 |
| Practice phone | 843-281-2001 |
| Enumerated | November 23, 2021 |
| Last updated | November 23, 2021 |
| Authorized official | Jennifer Cline, Credentialing Specialist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.