| Forest Acres Dental Care, P.a. | |
|
5101 Forest Dr Columbia SC 29206-4962 | |
| (803) 782-8786 | |
| (803) 782-6682 |
| Full Name | Forest Acres Dental Care, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5101 Forest Dr, Columbia, South Carolina |
| Authorized Official Name and Position | M. Caroline Jones Gutierrez (OWNER) |
| Authorized Official Contact | 8037828786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Acres Dental Care, P.a. Po Box 6468 Columbia SC 29260-6468 Ph: (803) 782-8786 | Forest Acres Dental Care, P.a. 5101 Forest Dr Columbia SC 29206-4962 Ph: (803) 782-8786 |
| NPI Number | 1780879247 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 10/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780879247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3327 (South Carolina) | Primary |
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