Margaret J. Weston Dental | |
4645 Augusta Road Clearwater SC 29822 | |
(803) 593-9283 | |
(803) 593-0607 |
Full Name | Margaret J. Weston Dental |
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Speciality | Clinic/center - Dental |
Location | 4645 Augusta Road, Clearwater, South Carolina |
Authorized Official Name and Position | James L. Coleman (CEO) |
Authorized Official Contact | 8035939283 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Margaret J. Weston Dental Po Box 277 Clearwater SC 29822-0277 Ph: (803) 593-9283 | Margaret J. Weston Dental 4645 Augusta Road Clearwater SC 29822 Ph: (803) 593-9283 |
NPI Number | 1609937515 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609937515 | NPI | - | NPPES |
166100 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |