IndividualActive
Amanda Petrin, DMD
NPI 1235865221 · General Practice Dentistry · Moncks Corner, SC
Provider details
- NPI number
- 1235865221
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 13534 (CT)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
2830 Hwy 52
Ste 360
Moncks Corner, SC 29461
Phone: (439) 904-7158
Approximate (ZIP-level) locationGet directions
Mailing address
504 Sound Dr
Summerville, SC 29486-2932
Registry dates
- Enumerated
- 2022-08-01
- Last updated
- 2023-11-01
- Certified
- 2023-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.