| Lowcountry Pediatric Dentistry | |
|
105 Industrial Way Darlington SC 29532-6044 | |
| (843) 395-6112 | |
| (843) 395-9062 |
| Full Name | Lowcountry Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 105 Industrial Way, Darlington, South Carolina |
| Authorized Official Name and Position | Charles Morrison Farish (PRESIDENT) |
| Authorized Official Contact | 8436676710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowcountry Pediatric Dentistry Po Box 1730 Darlington SC 29540-1730 Ph: (843) 395-6112 | Lowcountry Pediatric Dentistry 105 Industrial Way Darlington SC 29532-6044 Ph: (843) 395-6112 |
| NPI Number | 1245300714 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245300714 | NPI | - | NPPES |
| ZA9606 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (South Carolina) | Primary |
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