Most Relevant Information
Provider Data
| NPI Number: | 1003836776 |
| Provider Name: | FREDERICK MADISON GUNTER DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | 0156 |
Most Important Dates
| Enumeration Date: | 07/19/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
7465 NORTHSIDE DR
NORTH CHARLESTON
SC
294204209
Practice Location Phone/Fax
| Phone: | 8435537300 |
| Fax: | 8437977631 |
Provider Mailing Location
7465 NORTHSIDE DR
NORTH CHARLESTON
SC
294204209
Provider Mailing Phone/Fax
| Phone: | 8435537300 |
| Fax: | 8437977631 |