| Earl Bostick,sr. D.m.d. | |
|
10832 Jacob Smart Blvd. Ridgeland SC 29936-2260 | |
| (843) 726-5711 | |
| Not Available |
| Full Name | Earl Bostick,sr. D.m.d. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10832 Jacob Smart Blvd., Ridgeland, South Carolina |
| Authorized Official Name and Position | Earl Bostick (OWNER) |
| Authorized Official Contact | 8437265711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Earl Bostick,sr. D.m.d. Po Box 2260 Ridgeland SC 29936-2638 Ph: (843) 726-5711 | Earl Bostick,sr. D.m.d. 10832 Jacob Smart Blvd. Ridgeland SC 29936-2260 Ph: (843) 726-5711 |
| NPI Number | 1316157704 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 10/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316157704 | NPI | - | NPPES |
| ZA9986 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Ridgeland Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10832 N Jacob Smart Blvd, Ridgeland, SC 29936 Phone: 843-812-8191 | |
High Point Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10911 N Jacob Smart Blvd Ste C, Ridgeland, SC 29936 Phone: 843-898-6800 | |
Wooster Dental Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 591 Browns Cove Rd, Unit A, Ridgeland, SC 29936 Phone: 843-645-7844 |