| Dutch Fork Family Dentistry, Pa | |
|
7436 Broad River Rd Ste 111 Irmo SC 29063-7601 | |
| (803) 749-3333 | |
| (803) 749-3335 |
| Full Name | Dutch Fork Family Dentistry, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7436 Broad River Rd Ste 111, Irmo, South Carolina |
| Authorized Official Name and Position | Sherry Benenhaley Rauch (PRESIDENT) |
| Authorized Official Contact | 8037493333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dutch Fork Family Dentistry, Pa 7436 Broad River Rd Ste 111 Irmo SC 29063-7601 Ph: (803) 749-3333 | Dutch Fork Family Dentistry, Pa 7436 Broad River Rd Ste 111 Irmo SC 29063-7601 Ph: (803) 749-3333 |
| NPI Number | 1104166792 |
|---|---|
| Provider Enumeration Date | 02/19/2013 |
| Last Update Date | 02/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104166792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4654 (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 | |
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 |