| Dds Imaging Services | |
|
110 Medical Ln E Suite 115 West Columbia SC 29169-4817 | |
| (803) 739-4805 | |
| (803) 739-4810 |
| Full Name | Dds Imaging Services |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 110 Medical Ln E, West Columbia, South Carolina |
| Authorized Official Name and Position | James E. Mercer (CEO) |
| Authorized Official Contact | 8037394805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dds Imaging Services 110 Medical Ln E Suite 115 West Columbia SC 29169-4817 Ph: (803) 739-4805 | Dds Imaging Services 110 Medical Ln E Suite 115 West Columbia SC 29169-4817 Ph: (803) 739-4805 |
| NPI Number | 1710178793 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 08/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710178793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2941 (South Carolina) | Primary |
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