114 Kershaw Dental, Pc | |
114 E Hilton St Kershaw SC 29067-1318 | |
(803) 475-6052 | |
Not Available |
Full Name | 114 Kershaw Dental, Pc |
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Speciality | Dentist - General Practice |
Location | 114 E Hilton St, Kershaw, South Carolina |
Authorized Official Name and Position | Matthew Cook (OWNER) |
Authorized Official Contact | 8034791795 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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114 Kershaw Dental, Pc Po Box 330 Edgefield SC 29824-0330 Ph: () - | 114 Kershaw Dental, Pc 114 E Hilton St Kershaw SC 29067-1318 Ph: (803) 475-6052 |
NPI Number | 1043699713 |
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Provider Enumeration Date | 05/27/2015 |
Last Update Date | 05/27/2015 |
Identifier | Type | State | Issuer |
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1043699713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Carolina Dental Partners, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 S Cleveland St, Kershaw, SC 29067 Phone: 803-475-9440 |