| Downtown Dental | |
|
129 Fauburg St Sw Aiken SC 29801-3805 | |
| (803) 649-0430 | |
| Not Available |
| Full Name | Downtown Dental |
|---|---|
| Speciality | Dentist |
| Location | 129 Fauburg St Sw, Aiken, South Carolina |
| Authorized Official Name and Position | Charlotte Collins Wiedenman (OWNER) |
| Authorized Official Contact | 8035221878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downtown Dental 129 Fauburg St Sw Aiken SC 29801-3805 Ph: (803) 649-0430 | Downtown Dental 129 Fauburg St Sw Aiken SC 29801-3805 Ph: (803) 649-0430 |
| NPI Number | 1154941169 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 12/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154941169 | NPI | - | NPPES |
| ZX3844 | Medicaid | SC | |
| 17697 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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