| Foundation Dental Partners South Carolina Pc | |
|
3026 Farrow Rd Columbia SC 29203-7002 | |
| (803) 255-0200 | |
| Not Available |
| Full Name | Foundation Dental Partners South Carolina Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3026 Farrow Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Benjamin Cutler (VP OF INTEGRATION AND ADMINISTRATIO) |
| Authorized Official Contact | 6077439474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Dental Partners South Carolina Pc 296 S Main St Ste 300 Alpharetta GA 30009-1973 Ph: () - | Foundation Dental Partners South Carolina Pc 3026 Farrow Rd Columbia SC 29203-7002 Ph: (803) 255-0200 |
| NPI Number | 1811536881 |
|---|---|
| Provider Enumeration Date | 12/23/2019 |
| Last Update Date | 05/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811536881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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