| John Bradley Palles Dmd | |
|
1224 Yeamans Hall Rd Hanahan SC 29406 | |
| (843) 554-4545 | |
| (843) 554-4548 |
| Full Name | John Bradley Palles Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1224 Yeamans Hall Rd, Hanahan, South Carolina |
| Authorized Official Name and Position | John Bradley Palles (PRES OF COSMETIC & FAMILY DENTISTRY) |
| Authorized Official Contact | 8435544545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Bradley Palles Dmd 1224 Yeamans Hall Rd Hanahan SC 29406 Ph: (843) 554-4545 | John Bradley Palles Dmd 1224 Yeamans Hall Rd Hanahan SC 29406 Ph: (843) 554-4545 |
| NPI Number | 1497807903 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497807903 | NPI | - | NPPES |
| ZX3636 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 003636 (South Carolina) | Primary |
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