Provider Demographics
NPI:1386158541
Name:SOLOMON, KATHERINE DEAN (DMD, MSD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:DEAN
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:DMD, MSD
Other - Prefix:DR
Other - First Name:KATHERINE
Other - Middle Name:DEAN
Other - Last Name:PLUNKETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD, MSD
Mailing Address - Street 1:102 BUCKWALTER PKWY STE 3J
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-4130
Mailing Address - Country:US
Mailing Address - Phone:843-836-3010
Mailing Address - Fax:843-836-3014
Practice Address - Street 1:102 BUCKWALTER PKWY STE 3J
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-4130
Practice Address - Country:US
Practice Address - Phone:843-836-3010
Practice Address - Fax:843-836-3014
Is Sole Proprietor?:No
Enumeration Date:2017-11-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC82511223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics