Compass Dental Associates, Llc | |
2801 Wade Hampton Blvd Suite 118 Taylors SC 29687-2781 | |
(864) 715-0688 | |
Not Available |
Full Name | Compass Dental Associates, Llc |
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Speciality | Dentist |
Location | 2801 Wade Hampton Blvd, Taylors, South Carolina |
Authorized Official Name and Position | Jason Scott Rogers (OWNER) |
Authorized Official Contact | 8642001999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Compass Dental Associates, Llc 2801 Wade Hampton Blvd Suite 118 Taylors SC 29687-2781 Ph: () - | Compass Dental Associates, Llc 2801 Wade Hampton Blvd Suite 118 Taylors SC 29687-2781 Ph: (864) 715-0688 |
NPI Number | 1790196368 |
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Provider Enumeration Date | 05/16/2014 |
Last Update Date | 05/16/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790196368 | NPI | - | NPPES |
ZX4024 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4024 (South Carolina) | Primary |
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