| Columbia Family Dental Center | |
|
2315 Sunset Blvd West Columbia SC 29169-4715 | |
| (803) 791-4398 | |
| Not Available |
| Full Name | Columbia Family Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2315 Sunset Blvd, West Columbia, South Carolina |
| Authorized Official Name and Position | Joseph Edward Dupree (OWNER) |
| Authorized Official Contact | 8037914398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Family Dental Center 2315 Sunset Blvd West Columbia SC 29169-4715 Ph: (803) 791-4398 | Columbia Family Dental Center 2315 Sunset Blvd West Columbia SC 29169-4715 Ph: (803) 791-4398 |
| NPI Number | 1487819140 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487819140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dr. George H. Fann, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Professional Ave, West Columbia, SC 29169 Phone: 803-796-0666 Fax: 803-796-8753 | |
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