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Dr. George Pericles Stamatiades III, DMD
Student in an Organized Health Care Education/Training Program in Moncks Corner, South Carolina
NPI 1841851029

George Pericles Stamatiades III is a Student in an Organized Health Care Education/Training Program based in Moncks Corner, SC. George Pericles Stamatiades III practices in Moncks Corner, SC and has the professional credentials of DMD. The NPI Number for George Pericles Stamatiades III is 1841851029 and holds a License No. DGD.9898 (South Carolina).

The current practice location address for George Pericles Stamatiades III is 2830 Highway 52, Moncks Corner, SC and can be reached out via phone at 843-990-4715.

Location: 2830 Highway 52, Moncks Corner, SC, 29461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841851029
Provider Name
George Pericles Stamatiades III
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2830 Highway 52, Moncks Corner, SC, 29461
Phone Number
843-990-4715
Fax Number
Provider Enumeration Date
06/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2830 Highway 52
City
Moncks Corner
State
South Carolina
Zip
29461
Phone Number
843-990-4715
Fax Number
person
Provider Business Mailing Address Details
Address
2830 Highway 52
City
Moncks Corner
State
South Carolina
Zip
29461
Phone Number
843-990-4715
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE61194037 (Washington)
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.
DGD.9898 (South Carolina)
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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