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Edisto Dental Associates of Sc, LLC — NPI 1386891463, Edisto Island, SC | NPI Central

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NPI 1386891463

OrganizationActive

Edisto Dental Associates of Sc, LLC

NPI 1386891463 · Exclusive Provider Organization · Edisto Island, SC

Provider details

NPI number: 1386891463
Entity type: Organization
Primary specialty: Exclusive Provider OrganizationManaged Care Organizations
Organization subpart: No
Authorized official: Julie Corley, Office Manager(803) 279-0015
License: 2109 (SC)

Specialties & taxonomies

Exclusive Provider OrganizationPrimary302F00000XLicense 2109 (SC)
Managed Care Organizations

Practice location

51 Station Ct Ste C

Edisto Island, SC 29438-3020

Phone: (843) 869-3368

Approximate (ZIP-level) locationGet directions

More SC providers

Mailing address

Po Box 218

Edisto Island, SC 29438-0218

Other names (DBA / former)

Former legal business name: J. Michael Havird, DMD, PC

Registry dates

Enumerated: 2008-08-20
Last updated: 2008-08-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.