| Anderson Family Dental Care Pa | |
|
1411 North Fant St Anderson SC 29621 | |
| (864) 226-8040 | |
| (864) 225-9965 |
| Full Name | Anderson Family Dental Care Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1411 North Fant St, Anderson, South Carolina |
| Authorized Official Name and Position | John H Hollingsworth (DENTIST GENERAL) |
| Authorized Official Contact | 8642268040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Family Dental Care Pa 1411 North Fant St Anderson SC 29621 Ph: (864) 226-8040 | Anderson Family Dental Care Pa 1411 North Fant St Anderson SC 29621 Ph: (864) 226-8040 |
| NPI Number | 1548388168 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548388168 | NPI | - | NPPES |
| ZA9635 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3267 (South Carolina) | Primary |
| 1223G0001X | Dentist - General Practice | 3288 (South Carolina) | Secondary |
Dentalworks Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 146 Commons Parkway, Anderson, SC 29621 Phone: 864-224-6300 Fax: 216-584-1154 | |
Southern Pediatric Dentistry P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 N Fant St, Anderson, SC 29621 Phone: 864-844-9393 Fax: 864-844-9395 | |
Trinity Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 N Fant St, Anderson, SC 29621 Phone: 864-224-4736 | |
Austin/pray Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 218a E Shockley Ferry Rd, Anderson, SC 29624 Phone: 864-226-4411 Fax: 864-226-9323 | |
Foster Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Ella St, Anderson, SC 29621 Phone: 864-261-8985 | |
Progrin Dental Of Westside, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Michelin Blvd, Anderson, SC 29625 Phone: 864-332-4117 | |
Cornerstone Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Mutual Dr, Anderson, SC 29621 Phone: 864-222-9001 |