| Basta Dental Llc | |
|
1257 Broad St Sumter SC 29150-1973 | |
| (803) 773-1355 | |
| Not Available |
| Full Name | Basta Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1257 Broad St, Sumter, South Carolina |
| Authorized Official Name and Position | Valerie Hamilton (DIRECTOR, PAYOR STRATEGY) |
| Authorized Official Contact | 3154105531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basta Dental Llc Po Box 70887 Cleveland OH 44190-0887 Ph: (315) 410-5531 | Basta Dental Llc 1257 Broad St Sumter SC 29150-1973 Ph: (803) 773-1355 |
| NPI Number | 1255174140 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255174140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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