| Dental Associates Of South Carolina, Inc | |
|
104 Buford Ave Anderson SC 29621-3314 | |
| (864) 224-1925 | |
| Not Available |
| Full Name | Dental Associates Of South Carolina, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 104 Buford Ave, Anderson, South Carolina |
| Authorized Official Name and Position | Kendon A Ross (CORPORATE OFFICER) |
| Authorized Official Contact | 8642241925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Associates Of South Carolina, Inc 104 Buford Ave Anderson SC 29621-3314 Ph: (864) 224-1925 | Dental Associates Of South Carolina, Inc 104 Buford Ave Anderson SC 29621-3314 Ph: (864) 224-1925 |
| NPI Number | 1912017997 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912017997 | NPI | - | NPPES |
| ZA9728 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3286 (South Carolina) | Primary |
| 1223G0001X | Dentist - General Practice | 3260 (South Carolina) | Secondary |
Dentalworks Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 146 Commons Parkway, Anderson, SC 29621 Phone: 864-224-6300 Fax: 216-584-1154 | |
Southern Pediatric Dentistry P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 N Fant St, Anderson, SC 29621 Phone: 864-844-9393 Fax: 864-844-9395 | |
Trinity Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 N Fant St, Anderson, SC 29621 Phone: 864-224-4736 | |
Austin/pray Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 218a E Shockley Ferry Rd, Anderson, SC 29624 Phone: 864-226-4411 Fax: 864-226-9323 | |
Foster Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Ella St, Anderson, SC 29621 Phone: 864-261-8985 | |
Progrin Dental Of Westside, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Michelin Blvd, Anderson, SC 29625 Phone: 864-332-4117 | |
Cornerstone Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Mutual Dr, Anderson, SC 29621 Phone: 864-222-9001 |