| At Your Home Dentistry | |
|
810 Dutch Square Blvd Suite 104 Columbia SC 29210-7318 | |
| (803) 771-2600 | |
| (516) 665-5588 |
| Full Name | At Your Home Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 810 Dutch Square Blvd, Columbia, South Carolina |
| Authorized Official Name and Position | Angela Mcfadden (DENTIST) |
| Authorized Official Contact | 8037712600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| At Your Home Dentistry 311 Plantation Dr Lexington SC 29072-7925 Ph: (803) 771-2600 | At Your Home Dentistry 810 Dutch Square Blvd Suite 104 Columbia SC 29210-7318 Ph: (803) 771-2600 |
| NPI Number | 1477792265 |
|---|---|
| Provider Enumeration Date | 02/18/2009 |
| Last Update Date | 02/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477792265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3177 (South Carolina) | Primary |
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