| Glenns Bay Dental Associates Llc | |
|
1625 Glenns Bay Rd Surfside Beach SC 29575-4836 | |
| (843) 650-5100 | |
| (843) 650-0689 |
| Full Name | Glenns Bay Dental Associates Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1625 Glenns Bay Rd, Surfside Beach, South Carolina |
| Authorized Official Name and Position | Joseph Hal Capps (CO-OWNER) |
| Authorized Official Contact | 8436505100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenns Bay Dental Associates Llc 1625 Glenns Bay Rd Surfside Beach SC 29575-4836 Ph: (843) 650-5100 | Glenns Bay Dental Associates Llc 1625 Glenns Bay Rd Surfside Beach SC 29575-4836 Ph: (843) 650-5100 |
| NPI Number | 1437275179 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437275179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 75363 (South Carolina) | Primary |
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Glenns Bay Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 Glenns Bay Rd, Surfside Beach, SC 29575 Phone: 843-650-5100 Fax: 843-650-0689 |