Grand Oaks Sleep Solutions Llc | |
3905 Liberty Hwy Anderson SC 29621-1229 | |
(864) 224-0809 | |
(864) 224-0811 |
Full Name | Grand Oaks Sleep Solutions Llc |
---|---|
Speciality | Dentist |
Location | 3905 Liberty Hwy, Anderson, South Carolina |
Authorized Official Name and Position | Gabrielle F Cannick (OWNER/DENTIST) |
Authorized Official Contact | 8642240809 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Grand Oaks Sleep Solutions Llc 3905 Liberty Hwy Anderson SC 29621-1229 Ph: (864) 224-0809 | Grand Oaks Sleep Solutions Llc 3905 Liberty Hwy Anderson SC 29621-1229 Ph: (864) 224-0809 |
NPI Number | 1871011593 |
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Provider Enumeration Date | 09/01/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 3274864574 |
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Medicare Enrollment ID | O20191018000256 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871011593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4585 (South Carolina) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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