| Lake City Family Dentistry | |
|
804 W Main St Lake City SC 29560-4400 | |
| (843) 374-2021 | |
| (843) 374-2030 |
| Full Name | Lake City Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 804 W Main St, Lake City, South Carolina |
| Authorized Official Name and Position | Windy Hobbs (INSURANCE CLERK) |
| Authorized Official Contact | 8433742021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake City Family Dentistry 804 W Main St Lake City SC 29560-4400 Ph: () - | Lake City Family Dentistry 804 W Main St Lake City SC 29560-4400 Ph: (843) 374-2021 |
| NPI Number | 1689710139 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 01/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689710139 | NPI | - | NPPES |
| ZA9757 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | SC3558 (South Carolina) | Primary |
Lake City Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 W Main St, Lake City, SC 29560 Phone: 843-374-2021 Fax: 843-374-2030 | |
Hopehealth Lake City Sauls Street Dental Clinic Medicare: Medicare Enrolled Practice Location: 148 Sauls St Ste A, Lake City, SC 29560 Phone: 843-394-1051 Fax: 843-394-0277 |