Provider Demographics
NPI:1558695809
Name:ALDERMAN, MARGARET E (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:E
Last Name:ALDERMAN
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 1:1051 GARDNER RD
Mailing Address - Street 2:STE D
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-5747
Mailing Address - Country:US
Mailing Address - Phone:843-556-6566
Mailing Address - Fax:843-571-0793
Practice Address - Street 1:1051 GARDNER RD
Practice Address - Street 2:STE D
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-5747
Practice Address - Country:US
Practice Address - Phone:843-556-6566
Practice Address - Fax:843-571-0793
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6004122300000X
SC44721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1898082Medicaid
SCFA1571505OtherDEA