Blackman Family Dentistry | |
1220 Chesterfield Hwy Cheraw SC 29520-7014 | |
(843) 537-4368 | |
(843) 537-4368 |
Full Name | Blackman Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 1220 Chesterfield Hwy, Cheraw, South Carolina |
Authorized Official Name and Position | William Michael Blackman (OWNER/DENTIST) |
Authorized Official Contact | 8435374368 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blackman Family Dentistry 1220 Chesterfield Hwy Cheraw SC 29520-7014 Ph: (843) 537-4368 | Blackman Family Dentistry 1220 Chesterfield Hwy Cheraw SC 29520-7014 Ph: (843) 537-4368 |
NPI Number | 1912193152 |
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Provider Enumeration Date | 09/21/2007 |
Last Update Date | 06/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912193152 | NPI | - | NPPES |
ZZ2699 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2699 (South Carolina) | Primary |
Cheraw Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3137 Highway 9, Cheraw, SC 29520 Phone: 843-537-9044 Fax: 843-537-5853 | |
Cheraw Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3137 Hwy 9 W, Cheraw, SC 29520 Phone: 843-537-9044 Fax: 843-537-5853 |