| Dental Team Of Sumter, P.a. | |
|
5635 Broad St Ext Sumter SC 29154 | |
| (803) 494-8466 | |
| (803) 494-8472 |
| Full Name | Dental Team Of Sumter, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5635 Broad St Ext, Sumter, South Carolina |
| Authorized Official Name and Position | R Capers Lee (GENERAL DENTIST) |
| Authorized Official Contact | 8034948466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Team Of Sumter, P.a. 5635 Broad St Ext Sumter SC 29154 Ph: (803) 494-8466 | Dental Team Of Sumter, P.a. 5635 Broad St Ext Sumter SC 29154 Ph: (803) 494-8466 |
| NPI Number | 1588792998 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588792998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2810 (South Carolina) | Primary |
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