Provider Demographics
NPI:1821113796
Name:OYSTER, DAVID KENT (DMD,MS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KENT
Last Name:OYSTER
Suffix:
Gender:M
Credentials:DMD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 PIGNATELLI CRES
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-8055
Mailing Address - Country:US
Mailing Address - Phone:843-849-7225
Mailing Address - Fax:
Practice Address - Street 1:2928 HIGHWAY 17 NORTH
Practice Address - Street 2:
Practice Address - City:MT. PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-8958
Practice Address - Country:US
Practice Address - Phone:843-856-8856
Practice Address - Fax:843-856-8814
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC30671223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics