| James Nyland Dds Pc | |
|
392 St Andrews Road Columbia SC 29210-4427 | |
| (803) 772-7302 | |
| (803) 772-7353 |
| Full Name | James Nyland Dds Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 392 St Andrews Road, Columbia, South Carolina |
| Authorized Official Name and Position | James J Nyland (OWNER PRESIDENT) |
| Authorized Official Contact | 8037727302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Nyland Dds Pc 392 St Andrews Road Columbia SC 29210-4427 Ph: (803) 772-7302 | James Nyland Dds Pc 392 St Andrews Road Columbia SC 29210-4427 Ph: (803) 772-7302 |
| NPI Number | 1972725299 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972725299 | NPI | - | NPPES |
| Z17072 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 1707 (South Carolina) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | SPECIALTY 0160 (South Carolina) | Secondary |
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