K And N Dental Group | |
125 Powell Mill Rd Spartanburg SC 29301-1589 | |
(864) 574-0788 | |
(864) 576-5359 |
Full Name | K And N Dental Group |
---|---|
Speciality | Dentist - General Practice |
Location | 125 Powell Mill Rd, Spartanburg, South Carolina |
Authorized Official Name and Position | Hampton Kennemore (OWNER) |
Authorized Official Contact | 8645767169 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
K And N Dental Group 125 Powell Mill Rd Spartanburg SC 29301-1589 Ph: (864) 574-0788 | K And N Dental Group 125 Powell Mill Rd Spartanburg SC 29301-1589 Ph: (864) 574-0788 |
NPI Number | 1396070116 |
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Provider Enumeration Date | 10/13/2009 |
Last Update Date | 10/19/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396070116 | NPI | - | NPPES |
ZA9626 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3313 (South Carolina) | Primary |
1223G0001X | Dentist - General Practice | 3783 (South Carolina) | Secondary |
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