Iron City Dental Group | |
1119 W Cherokee St Blacksburg SC 29702-9221 | |
(864) 839-0034 | |
(864) 839-0064 |
Full Name | Iron City Dental Group |
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Speciality | Dentist |
Location | 1119 W Cherokee St, Blacksburg, South Carolina |
Authorized Official Name and Position | Jenni Tomlinson (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 8648390034 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Iron City Dental Group 1119 W Cherokee St Blacksburg SC 29702-9221 Ph: (864) 839-0034 | Iron City Dental Group 1119 W Cherokee St Blacksburg SC 29702-9221 Ph: (864) 839-0034 |
NPI Number | 1316315054 |
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Provider Enumeration Date | 09/11/2015 |
Last Update Date | 10/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316315054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2881 (South Carolina) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | 2881 (South Carolina) | Secondary |
Gentle Dental Care Of Blacksburg Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W Pine St, Blacksburg, SC 29702 Phone: 864-839-0034 |