Provider Demographics
NPI:1285796896
Name:RHYNE, CRAIG H SR (DMD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:H
Last Name:RHYNE
Suffix:SR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 LOWCOUNTRY BLVD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3024
Mailing Address - Country:US
Mailing Address - Phone:843-881-1638
Mailing Address - Fax:843-881-4199
Practice Address - Street 1:815 LOWCOUNTRY BLVD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3024
Practice Address - Country:US
Practice Address - Phone:843-881-1638
Practice Address - Fax:843-881-4199
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice