| Marshlands Family Dentistry,pa | |
|
1090 Ribaut Rd Beaufort SC 29902-5437 | |
| (843) 521-4344 | |
| (843) 521-1804 |
| Full Name | Marshlands Family Dentistry,pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1090 Ribaut Rd, Beaufort, South Carolina |
| Authorized Official Name and Position | Virgie D Gurganious (OFFICE MGR) |
| Authorized Official Contact | 8435214344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshlands Family Dentistry,pa 1090 Ribaut Rd Beaufort SC 29902-5437 Ph: (843) 521-4344 | Marshlands Family Dentistry,pa 1090 Ribaut Rd Beaufort SC 29902-5437 Ph: (843) 521-4344 |
| NPI Number | 1568654275 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 10/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568654275 | NPI | - | NPPES |
| Z17777 | Medicaid | SC | |
| 1302242 | Other | UCCI | |
| ZA9852 | Medicaid | SC | |
| 826791 | Other | UNITED CONCORDIA | |
| 829922 | Other | SC | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | Z1777 (South Carolina) | Primary |
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