Jamie Y Driggers Dmd Inc. | |
133 Cedar Street Saint Stephen SC 29479-0760 | |
(843) 567-3175 | |
(843) 567-3293 |
Full Name | Jamie Y Driggers Dmd Inc. |
---|---|
Speciality | Dentist - General Practice |
Location | 133 Cedar Street, Saint Stephen, South Carolina |
Authorized Official Name and Position | Jamie Yates Driggers (OWNER/DENTIST) |
Authorized Official Contact | 8435673175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jamie Y Driggers Dmd Inc. 133 Cedar Street Saint Stephen SC 29479-0760 Ph: (843) 567-3175 | Jamie Y Driggers Dmd Inc. 133 Cedar Street Saint Stephen SC 29479-0760 Ph: (843) 567-3175 |
NPI Number | 1346470150 |
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Provider Enumeration Date | 07/15/2009 |
Last Update Date | 08/31/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346470150 | NPI | - | NPPES |
1356504997 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4459 (South Carolina) | Primary |
Cedar Drive Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Cedar Drive, Saint Stephen, SC 29479 Phone: 843-567-3175 |