Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Coral Simantov-Maman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255048278

Coral Simantov-Maman is a Student in an Organized Health Care Education/Training Program in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2022.

Licensed in
SC
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2051 Sam Rittenberg Blvd
Charleston, SC 29407-4683
Phone: (843) 779-6844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DGD.10522 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255048278
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2022
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

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