Kenley Loftis D.m.d Pa | |
1101 B Ave West Columbia SC 29169-6722 | |
(803) 794-8741 | |
(803) 794-2149 |
Full Name | Kenley Loftis D.m.d Pa |
---|---|
Speciality | Dentist - General Practice |
Location | 1101 B Ave, West Columbia, South Carolina |
Authorized Official Name and Position | Kenley Jackson Loftis (OWNER) |
Authorized Official Contact | 8037948741 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kenley Loftis D.m.d Pa 1101 B Ave West Columbia SC 29169-6722 Ph: (803) 794-8741 | Kenley Loftis D.m.d Pa 1101 B Ave West Columbia SC 29169-6722 Ph: (803) 794-8741 |
NPI Number | 1568591469 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 09/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568591469 | NPI | - | NPPES |
Z3331 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3331 (South Carolina) | Primary |
Dr. George H. Fann, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Professional Ave, West Columbia, SC 29169 Phone: 803-796-0666 Fax: 803-796-8753 | |
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