Provider Demographics
NPI:1386894863
Name:STRONG, ERIN R (DMD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:R
Last Name:STRONG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:R
Other - Last Name:STRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:9610 TWO NOTCH RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-1601
Mailing Address - Country:US
Mailing Address - Phone:803-788-0976
Mailing Address - Fax:803-788-0974
Practice Address - Street 1:9610 TWO NOTCH RD
Practice Address - Street 2:SUITE 4
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-1601
Practice Address - Country:US
Practice Address - Phone:803-788-0976
Practice Address - Fax:803-788-0974
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX240201223G0001X
SC45131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice