Indigo Dentistry West | |
113 Medical Cir West Columbia SC 29169-3655 | |
(803) 796-9312 | |
Not Available |
Full Name | Indigo Dentistry West |
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Speciality | Dentist - General Practice |
Location | 113 Medical Cir, West Columbia, South Carolina |
Authorized Official Name and Position | Jennifer L Rains (OWNER) |
Authorized Official Contact | 8033487401 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Indigo Dentistry West 121 Alpine Cir Columbia SC 29223-6385 Ph: (803) 348-7401 | Indigo Dentistry West 113 Medical Cir West Columbia SC 29169-3655 Ph: (803) 796-9312 |
NPI Number | 1124694260 |
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Provider Enumeration Date | 05/30/2021 |
Last Update Date | 05/30/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124694260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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