| Dental Access Carolina, Llc | |
|
454 S. Anderson Rd Suite 126 Rock Hill SC 29730 | |
| (803) 324-3101 | |
| (803) 324-3101 |
| Full Name | Dental Access Carolina, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 454 S. Anderson Rd, Rock Hill, South Carolina |
| Authorized Official Name and Position | John E Reese (MEMBER) |
| Authorized Official Contact | 8033243101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Access Carolina, Llc Po Box 11804 Rock Hill SC 29731-1804 Ph: (803) 324-3101 | Dental Access Carolina, Llc 454 S. Anderson Rd Suite 126 Rock Hill SC 29730 Ph: (803) 324-3101 |
| NPI Number | 1083834972 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083834972 | NPI | - | NPPES |
| ZA9620 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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