| Jelinek Dental, Inc | |
|
38 Blackgum Rd Unit G Pawleys Island SC 29585-8495 | |
| (843) 235-2719 | |
| (843) 235-2730 |
| Full Name | Jelinek Dental, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 38 Blackgum Rd Unit G, Pawleys Island, South Carolina |
| Authorized Official Name and Position | Brian G Jelinek (PRESIDENT) |
| Authorized Official Contact | 8432352719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jelinek Dental, Inc 38 Blackgum Rd Unit G Pawleys Island SC 29585-8495 Ph: (843) 235-2719 | Jelinek Dental, Inc 38 Blackgum Rd Unit G Pawleys Island SC 29585-8495 Ph: (843) 235-2719 |
| NPI Number | 1558783530 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 01/10/2014 |
| Medicare PECOS PAC ID | 3173746831 |
|---|---|
| Medicare Enrollment ID | O20140527001181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558783530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4664 (South Carolina) | Primary |
| Provider Name | Brian G Jelinek |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992818215 PECOS PAC ID: 2062635725 Enrollment ID: I20140527001257 |
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