Whalio Doctors

NPI 1003033192

Mary Victoria Tatum, DMD

Practitioner General Practice Dentistry Charleston, SC

Practice location

Address
92 Courtenay Dr, Charleston, SC 29403-5742
Phone
(843) 577-6112
Fax
(843) 937-0200

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 3084 (SC)

Registry record

NPI
1003033192
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Apr 2007
Record last updated
8 Jul 2007

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.