| Carolina Elite Dental Services Ii Llc | |
|
101 Perpetual Sq Anderson SC 29621-1713 | |
| (704) 609-8939 | |
| Not Available |
| Full Name | Carolina Elite Dental Services Ii Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 Perpetual Sq, Anderson, South Carolina |
| Authorized Official Name and Position | Richard E. Offutt (PRESIDENT) |
| Authorized Official Contact | 7046098939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Elite Dental Services Ii Llc 101 Perpetual Sq Anderson SC 29621-1713 Ph: (704) 609-8939 | Carolina Elite Dental Services Ii Llc 101 Perpetual Sq Anderson SC 29621-1713 Ph: (704) 609-8939 |
| NPI Number | 1760115851 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760115851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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