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Dr. Kelcy Ann Huddle, DMD
General Practice Dentistry in Irmo, South Carolina
NPI 1215399977

Kelcy Ann Huddle is a General Practice Dentistry based in Irmo, SC and is specialized in General Practice. Kelcy Ann Huddle practices in Irmo, SC and has the professional credentials of DMD. The NPI Number for Kelcy Ann Huddle is 1215399977 and holds a License No. (South Carolina).

The current practice location address for Kelcy Ann Huddle is 7241 Broad River Rd Ste 90, Irmo, SC and can be reached out via phone at 803-732-3650. You can also correspond with Kelcy Ann Huddle through the mailing address at 7241 BROAD RIVER RD STE 90, IRMO, SC - 29063-8164 (mailing address contact number: ).

Location: 7241 Broad River Rd Ste 90, Irmo, SC, 29063-8164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215399977
Provider Name
Kelcy Ann Huddle
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
7241 Broad River Rd Ste 90, Irmo, SC, 29063-8164
Phone Number
803-732-3650
Fax Number
Provider Enumeration Date
03/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7241 Broad River Rd Ste 90
City
Irmo
State
South Carolina
Zip
29063-8164
Phone Number
803-732-3650
Fax Number
person
Provider Business Mailing Address Details
Address
7241 Broad River Rd Ste 90
City
Irmo
State
South Carolina
Zip
29063-8164
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
8963 (South Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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