Brent R. Humphrey DMD, PA
Brent R. Humphrey DMD, PA is a Pediatric Dentistry in Goose Creek, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.
- Licensed in
- SC
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
103 Springhall DrGoose Creek, SC 29445-5336
Phone: (843) 797-2000
Fax: (843) 797-8826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 2872 (SC) |
|---|
Record details
| NPI number | 1316950843 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brent Humphrey — Owner · (843) 797-2000 |
| NPI enumerated | August 14, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 103 Springhall Dr, Goose Creek, SC 29445-5336 |
Other providers in Goose Creek
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Brent R. Humphrey, DMD
103 Spring Hall Dr, Goose Creek, SC 29445-5336 · (843) 797-2000