| Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa | |
|
10229 Clemson Blvd # A Seneca SC 29678-0817 | |
| (864) 882-0620 | |
| Not Available |
| Full Name | Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10229 Clemson Blvd # A, Seneca, South Carolina |
| Authorized Official Name and Position | Kendon A Ross (OFFICER) |
| Authorized Official Contact | 8648820620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa Po Box 1897 Seneca SC 29679-1897 Ph: (864) 882-0620 | Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa 10229 Clemson Blvd # A Seneca SC 29678-0817 Ph: (864) 882-0620 |
| NPI Number | 1558432146 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558432146 | NPI | - | NPPES |
| ZA9819 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3286 (South Carolina) | Secondary |
| 1223G0001X | Dentist - General Practice | 3260 (South Carolina) | Primary |
World Class Dentistry, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Bypass 123, Suite 302, Seneca, SC 29678 Phone: 864-888-0020 Fax: 864-885-1981 | |
Hood Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Commons Blvd, Seneca, SC 29678 Phone: 864-882-2424 Fax: 864-882-2476 | |
Ronald R. Moore, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11012 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-0880 Fax: 864-882-0881 | |
Clemson Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Old Clemson Hwy, Seneca, SC 29672 Phone: 864-654-5733 Fax: 864-654-1117 | |
Grace Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Commons Blvd, Seneca, SC 29678 Phone: 864-882-2424 Fax: 864-882-2476 | |
Dentistry At The Commons Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Professionals Cir, Seneca, SC 29678 Phone: 864-882-0134 | |
S K Rogers Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Professionals Cir, Seneca, SC 29678 Phone: 864-882-0134 Fax: 864-882-0135 |