| Dental Wellness Center Of Sumter, Llc | |
|
1322 Broad St Ste 90 Sumter SC 29150-1984 | |
| (803) 883-0857 | |
| (912) 226-3489 |
| Full Name | Dental Wellness Center Of Sumter, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1322 Broad St Ste 90, Sumter, South Carolina |
| Authorized Official Name and Position | Christie Lawrence (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 9129205577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Wellness Center Of Sumter, Llc Po Box 60339 Savannah GA 31420-0339 Ph: (912) 920-5577 | Dental Wellness Center Of Sumter, Llc 1322 Broad St Ste 90 Sumter SC 29150-1984 Ph: (803) 883-0857 |
| NPI Number | 1003374414 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003374414 | NPI | - | NPPES |
| 1497918759 | Other | GA | NPI |
| DN010747 | Other | GA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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