| Crane Family Dentistry Llc | |
|
9565 Highway 78 Bldg 600b Ladson SC 29456-4116 | |
| (843) 412-4036 | |
| Not Available |
| Full Name | Crane Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9565 Highway 78 Bldg 600b, Ladson, South Carolina |
| Authorized Official Name and Position | Charles Edward Crane (MEMBER) |
| Authorized Official Contact | 8038070060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crane Family Dentistry Llc 9565 Highway 78 Bldg 600b Ladson SC 29456-4116 Ph: (843) 412-4036 | Crane Family Dentistry Llc 9565 Highway 78 Bldg 600b Ladson SC 29456-4116 Ph: (843) 412-4036 |
| NPI Number | 1508454950 |
|---|---|
| Provider Enumeration Date | 12/31/2020 |
| Last Update Date | 12/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508454950 | NPI | - | NPPES |
| ZX9205 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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