| East Highland Dentistry | |
|
303 E Highland Ave Ste 105 Anderson SC 29621-4767 | |
| (864) 226-5058 | |
| Not Available |
| Full Name | East Highland Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 303 E Highland Ave Ste 105, Anderson, South Carolina |
| Authorized Official Name and Position | Charles Preston Payne (OWNER) |
| Authorized Official Contact | 8642265058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Highland Dentistry 303 E Highland Ave Ste 105 Anderson SC 29621-4767 Ph: (864) 226-5058 | East Highland Dentistry 303 E Highland Ave Ste 105 Anderson SC 29621-4767 Ph: (864) 226-5058 |
| NPI Number | 1619455417 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 08/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619455417 | NPI | - | NPPES |
| 1851834964 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9142 (South Carolina) | Primary |
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