| Clinton Dental Care Llc | |
|
1208 Springdale Dr Clinton SC 29325-7225 | |
| (864) 833-5400 | |
| (864) 833-5417 |
| Full Name | Clinton Dental Care Llc |
|---|---|
| Speciality | Dentist |
| Location | 1208 Springdale Dr, Clinton, South Carolina |
| Authorized Official Name and Position | Kristin Rowland Derrick (DENTIST) |
| Authorized Official Contact | 8648335400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Dental Care Llc 1208 Springdale Dr. Po Box 837 Clinton SC 29325 Ph: (864) 833-5400 | Clinton Dental Care Llc 1208 Springdale Dr Clinton SC 29325-7225 Ph: (864) 833-5400 |
| NPI Number | 1063614469 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 03/29/2018 |
| Medicare PECOS PAC ID | 6507114048 |
|---|---|
| Medicare Enrollment ID | O20180731003304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063614469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4208 (South Carolina) | Primary |
Reynolds Family Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Professional Park Road, Clinton, SC 29325 Phone: 864-938-6002 Fax: 864-938-6589 | |
Daniel P. Hartley, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Calvert Ave, Clinton, SC 29325 Phone: 864-833-5333 |