| Dillon Family Dental Center Pc | |
|
101 E Jackson St Dillon SC 29536-2421 | |
| (843) 774-7662 | |
| (843) 774-7920 |
| Full Name | Dillon Family Dental Center Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 E Jackson St, Dillon, South Carolina |
| Authorized Official Name and Position | Keith A Fincannon (PRESIDENT) |
| Authorized Official Contact | 8437747662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dillon Family Dental Center Pc 101 E Jackson St Dillon SC 29536-2421 Ph: (843) 774-7662 | Dillon Family Dental Center Pc 101 E Jackson St Dillon SC 29536-2421 Ph: (843) 774-7662 |
| NPI Number | 1942226386 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942226386 | NPI | - | NPPES |
| ZA9907 | Medicaid | SC | |
| 89088X | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Comprehensive Dental Center Of South Carolina Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 Enterprise Rd Ste A, Dillon, SC 29536 Phone: 843-487-5156 Fax: 843-487-5161 | |
Palmetto Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Harrison St, Dillon, SC 29536 Phone: 843-774-8788 Fax: 843-774-1755 | |
Dillon Two Smiles For A Lifetime Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730a Highway 301 N, Dillon, SC 29536 Phone: 843-774-6200 Fax: 843-774-6283 |