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Brent R. Humphrey, DMD
Pediatric Dentist in Goose Creek, South Carolina
NPI 1831378686

Brent R. Humphrey is a Pediatric Dentist based in Goose Creek, SC and is specialized in Pediatric Dentistry. Brent R. Humphrey practices in Goose Creek, SC and has the professional credentials of DMD. The NPI Number for Brent R. Humphrey is 1831378686 and holds a License No. 2872 (South Carolina).

The current practice location address for Brent R. Humphrey is 103 Spring Hall Dr, Goose Creek, SC and can be reached out via phone at 843-797-2000 and via fax at 843-797-8826.

Location: 103 Spring Hall Dr, Goose Creek, SC, 29445-5336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831378686
Provider Name
Brent R. Humphrey
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
103 Spring Hall Dr, Goose Creek, SC, 29445-5336
Phone Number
843-797-2000
Fax Number
843-797-8826
Provider Enumeration Date
10/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z2872-9 05 SC
institution
Provider Business Practice Location Address Details
Address
103 Spring Hall Dr
City
Goose Creek
State
South Carolina
Zip
29445-5336
Phone Number
843-797-2000
Fax Number
843-797-8826
person
Provider Business Mailing Address Details
Address
103 Spring Hall Dr
City
Goose Creek
State
South Carolina
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
1223P0221X
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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