|
| |
|
2435 W Highway 160 Suite 101 Tega Cay SC 29708 | |
| (803) 802-1870 | |
| (216) 584-1151 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2435 W Highway 160, Tega Cay, South Carolina |
| Authorized Official Name and Position | Richard-james Hansen (DENTIST/OWNER) |
| Authorized Official Contact | 8038021870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 860036 Minneapolis MN 55486 Ph: (216) 584-1000 | 2435 W Highway 160 Suite 101 Tega Cay SC 29708 Ph: (803) 802-1870 |
| NPI Number | 1003140930 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 12/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003140930 | NPI | - | NPPES |
Tega Cay Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1188 Stonecrest Blvd, Tega Cay, SC 29708 Phone: 888-764-5314 | |
Cabana Dental Associates Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1147 Stonecrest Blvd Ste 105, Tega Cay, SC 29708 Phone: 803-547-6000 Fax: 803-547-6004 |