Provider Demographics
NPI:1689726192
Name:HARDWICKE, SUZANNE DOBBS (DMD)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:DOBBS
Last Name:HARDWICKE
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 1:3 GAMECOCK AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3378
Mailing Address - Country:US
Mailing Address - Phone:843-556-4798
Mailing Address - Fax:843-556-4798
Practice Address - Street 1:3 GAMECOCK AVE
Practice Address - Street 2:ST 302
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3378
Practice Address - Country:US
Practice Address - Phone:843-556-4798
Practice Address - Fax:843-556-4798
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC30021781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice