| Conway Family Dentistry, Llc | |
|
611 Church St Conway SC 29526-4823 | |
| (843) 248-4115 | |
| Not Available |
| Full Name | Conway Family Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 611 Church St, Conway, South Carolina |
| Authorized Official Name and Position | Craig Lee Milburn (MEMBER) |
| Authorized Official Contact | 8643676928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Family Dentistry, Llc 611 Church St Conway SC 29526-4823 Ph: (843) 248-4115 | Conway Family Dentistry, Llc 611 Church St Conway SC 29526-4823 Ph: (843) 248-4115 |
| NPI Number | 1386295012 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 09/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386295012 | NPI | - | NPPES |
| 4356 | Other | SC | SC STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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