| Edisto Dental Associates Llc | |
|
2197 Saint Matthews Rd Orangeburg SC 29118-2038 | |
| (803) 531-1601 | |
| Not Available |
| Full Name | Edisto Dental Associates Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2197 Saint Matthews Rd, Orangeburg, South Carolina |
| Authorized Official Name and Position | Clifton Jordan (OWNER/DENTIST) |
| Authorized Official Contact | 8035311601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edisto Dental Associates Llc 2197 St. Matthew Road Orangeburg SC 29118 Ph: (803) 531-1601 | Edisto Dental Associates Llc 2197 Saint Matthews Rd Orangeburg SC 29118-2038 Ph: (803) 531-1601 |
| NPI Number | 1871779413 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 01/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871779413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4010 (South Carolina) | Primary |
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