NPI 1366057168

Kiawah Village Dentistry, PA

Organisation Dental Clinic/Center Johns Island, SC

Practice location

Address: 154 Gardners Cir, Johns Island, SC 29455-5467
Phone: (843) 768-8376
Mailing address: 130 Gardeners Circle Pmb # 131, Johns Island, SC 29455

Authorised official

Name: Dustin Robert Plunkett
Title: Owner
Phone: (843) 768-8376

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in South Carolina →

Registry record

NPI: 1366057168
Entity type: Organization
NPI issued: 9 Sep 2020
Record last updated: 9 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.