NPI 1356668479 · live from the CMS NPI Registry
Cane Bay Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in Goose Creek, SC. National Provider Identifier 1356668479, active.
NPI record
| NPI | 1356668479 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 597 Old Mount Holly Rd, Suite 205, Goose Creek, SC 29445 |
| Practice phone | 843-797-7711 |
| Enumerated | April 29, 2010 |
| Last updated | April 29, 2010 |
| Authorized official | Roland Fulcher, Owner |
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.