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NPI 1457734774

IndividualActive

Andrew Ponton, DMD

NPI 1457734774 · General Practice Dentistry · Goose Creek, SC

Provider details

NPI number: 1457734774
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: 8745 (SC)

Practice location

122a S Goose Creek Blvd

Goose Creek, SC 29445-3136

Phone: (843) 764-3081

More SC providers

Mailing address

122a S Goose Creek Blvd

Goose Creek, SC 29445-3136

Registry dates

Enumerated: 2015-07-06
Last updated: 2017-11-03

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

Andrew Ponton, DMD — NPI 1457734774, Goose Creek, SC | NPI Central