institution
Brent R. Humphrey Dmd, P.a.
Pediatric Dentist in Goose Creek, South Carolina
NPI 1316950843

Brent R. Humphrey Dmd, P.a. is a Pediatric Dentist based in Goose Creek, SC and is specialized in Pediatric Dentistry. Brent R. Humphrey Dmd, P.a. practices in Goose Creek, SC. The NPI Number for Brent R. Humphrey Dmd, P.a. is 1316950843 and holds a License No. 2872 (South Carolina).

The current practice location address for Brent R. Humphrey Dmd, P.a. is 103 Springhall Dr, Goose Creek, SC and can be reached out via phone at 843-797-2000 and via fax at 843-797-8826. You can also correspond with Brent R. Humphrey Dmd, P.a. through the mailing address at 103 SPRINGHALL DR, GOOSE CREEK, SC - 29445-5336 (mailing address contact number: 843-797-2000).

Location: 103 Springhall Dr, Goose Creek, SC, 29445-5336
institution
Provider Profile Details
NPI Number
1316950843
Provider Name
Brent R. Humphrey Dmd, P.a.
Credential
Provider Entity Type
Organization
Address
103 Springhall Dr, Goose Creek, SC, 29445-5336
Phone Number
843-797-2000
Fax Number
843-797-8826
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZA 9522 05 SC
institution
Provider Business Practice Location Address Details
Address
103 Springhall Dr
City
State
Zip
29445-5336
Phone Number
843-797-2000
Fax Number
843-797-8826
person
Provider Business Mailing Address Details
Address
103 Springhall Dr
City
State
Zip
29445-5336
Phone Number
843-797-2000
Fax Number
843-797-8826
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
2872 (South Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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