| Forest Drive Dental Care, P.a. | |
|
3731 Forest Dr Columbia SC 29204-4007 | |
| (803) 782-8786 | |
| (803) 782-6682 |
| Full Name | Forest Drive Dental Care, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3731 Forest Dr, Columbia, South Carolina |
| Authorized Official Name and Position | Joanna Silver Dover (PRESIDENT/OWNER) |
| Authorized Official Contact | 8037828786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Drive Dental Care, P.a. 3731 Forest Dr Columbia SC 29204-4007 Ph: (803) 782-8786 | Forest Drive Dental Care, P.a. 3731 Forest Dr Columbia SC 29204-4007 Ph: (803) 782-8786 |
| NPI Number | 1134663784 |
|---|---|
| Provider Enumeration Date | 12/15/2016 |
| Last Update Date | 06/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134663784 | NPI | - | NPPES |
| ZX4660 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4660 (South Carolina) | Primary |
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