Provider Demographics
NPI:1700857307
Name:FRENCH, CAROL ANN (DMD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANN
Last Name:FRENCH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1813
Mailing Address - Street 2:#1 THAMES ALLEY
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-1813
Mailing Address - Country:US
Mailing Address - Phone:803-781-2511
Mailing Address - Fax:803-781-8401
Practice Address - Street 1:#1 THAMES ALLEY
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-1813
Practice Address - Country:US
Practice Address - Phone:803-781-2511
Practice Address - Fax:803-781-8401
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-31
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC024931223P0221X
SC3061223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCZZ02493Medicaid