| Columbia Dentistry, Llc | |
|
421 Bush River Rd #5 Columbia SC 29210 | |
| (803) 445-3906 | |
| Not Available |
| Full Name | Columbia Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 421 Bush River Rd #5, Columbia, South Carolina |
| Authorized Official Name and Position | Shamar Bey El (MANAGER) |
| Authorized Official Contact | 8037986333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Dentistry, Llc 1727 Broad River Road Columbia SC 29210-7332 Ph: (803) 798-6333 | Columbia Dentistry, Llc 421 Bush River Rd #5 Columbia SC 29210 Ph: (803) 445-3906 |
| NPI Number | 1699040246 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 10/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699040246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30-03757 (South Carolina) | Primary |
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