| Distinctive Dentistry | |
|
11107 Broad River Rd Suite D Irmo SC 29063-7602 | |
| (803) 749-3980 | |
| (803) 749-3981 |
| Full Name | Distinctive Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11107 Broad River Rd, Irmo, South Carolina |
| Authorized Official Name and Position | Robert Ray Cunningham (OWNER) |
| Authorized Official Contact | 8039176962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Distinctive Dentistry 11107 Broad River Rd Suite D Irmo SC 29063-7602 Ph: (803) 749-3980 | Distinctive Dentistry 11107 Broad River Rd Suite D Irmo SC 29063-7602 Ph: (803) 749-3980 |
| NPI Number | 1760664304 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 12/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760664304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4114 (South Carolina) | Primary |
Children And Adult Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7210k Broad River Rd, Irmo, SC 29063 Phone: 803-407-2220 | |
Dutch Fork Family Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7436 Broad River Rd Ste 111, Irmo, SC 29063 Phone: 803-749-3333 Fax: 803-749-3335 | |
Maggie Livingston Phillips, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1028 Kinley Rd, Irmo, SC 29063 Phone: 803-781-0880 | |
Premier Aesthetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Lake Murray Blvd, Irmo, SC 29063 Phone: 803-781-7901 Fax: 803-749-1376 | |
A. Crosby Livingston, Jr., Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1028 Kinley Rd, Irmo, SC 29063 Phone: 803-781-0880 Fax: 803-781-3288 | |
Irmo Kids Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7570 Woodrow St, Irmo, SC 29063 Phone: 803-429-7058 | |
William A. Burn, Iii, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7897 Broad River Road, Irmo, SC 29063 Phone: 803-781-2439 Fax: 803-781-2601 |