| Destination Dental Llc | |
|
155 Deacon Tiller Ct Ste 101 Duncan SC 29334-8880 | |
| (864) 485-2214 | |
| (864) 485-2215 |
| Full Name | Destination Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 155 Deacon Tiller Ct Ste 101, Duncan, South Carolina |
| Authorized Official Name and Position | Blake Julian (PRACTICE OWNER) |
| Authorized Official Contact | 8644852214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destination Dental Llc 155 Deacon Tiller Ct Ste 101 Duncan SC 29334-8880 Ph: (864) 485-2214 | Destination Dental Llc 155 Deacon Tiller Ct Ste 101 Duncan SC 29334-8880 Ph: (864) 485-2214 |
| NPI Number | 1750919718 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 03/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750919718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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