| John W. Holt, Jimmy A. Duensing Dental Center, Pa | |
|
8012 Sumter Hwy Columbia SC 29209 | |
| (803) 783-0694 | |
| (803) 783-7071 |
| Full Name | John W. Holt, Jimmy A. Duensing Dental Center, Pa |
|---|---|
| Speciality | Dentist |
| Location | 8012 Sumter Hwy, Columbia, South Carolina |
| Authorized Official Name and Position | Jimmy A Duensing (PRESIDENT) |
| Authorized Official Contact | 8037830694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W. Holt, Jimmy A. Duensing Dental Center, Pa 8012 Sumter Hwy Columbia SC 29209 Ph: (803) 783-0694 | John W. Holt, Jimmy A. Duensing Dental Center, Pa 8012 Sumter Hwy Columbia SC 29209 Ph: (803) 783-0694 |
| NPI Number | 1467470161 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467470161 | NPI | - | NPPES |
| Z16331 | Medicaid | SC | |
| Z22592 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2259 (South Carolina) | Primary |
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