Provider Demographics
NPI:1275268526
Name:HOURIGAN, KATIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:
Last Name:HOURIGAN
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 1:4216 WILDWOOD LNDG
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29420-7535
Mailing Address - Country:US
Mailing Address - Phone:843-300-9154
Mailing Address - Fax:
Practice Address - Street 1:8471 RESOLUTE WAY STE 104
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29420-7390
Practice Address - Country:US
Practice Address - Phone:843-760-6565
Practice Address - Fax:843-760-6484
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10231122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist