Provider Demographics
NPI:1881716694
Name:PRICE, EARL C (DDS)
Entity type:Individual
Prefix:DR
First Name:EARL
Middle Name:C
Last Name:PRICE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4376 BLUFFTON PARKWAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-4755
Mailing Address - Country:US
Mailing Address - Phone:843-706-9600
Mailing Address - Fax:
Practice Address - Street 1:4376 BLUFFTON PARKWAY
Practice Address - Street 2:SUITE 103
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-4755
Practice Address - Country:US
Practice Address - Phone:843-706-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0132891223G0001X
SC41871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice