Provider Demographics
NPI:1104055524
Name:FINKBINE, MEGAN ELISE (DMD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ELISE
Last Name:FINKBINE
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 1:103 MORGAN PLACE
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485
Mailing Address - Country:US
Mailing Address - Phone:843-875-3070
Mailing Address - Fax:907-852-9297
Practice Address - Street 1:103 MORGAN PLACE
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485
Practice Address - Country:US
Practice Address - Phone:843-875-3070
Practice Address - Fax:907-852-9297
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4611122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist