| Mathis Ferry Dental Associates, Inc. | |
|
701 Leader Ln Mount Pleasant SC 29464-8152 | |
| (843) 345-2307 | |
| (843) 881-3161 |
| Full Name | Mathis Ferry Dental Associates, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 701 Leader Ln, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Edna Klatt Depaul (OWNER) |
| Authorized Official Contact | 8433452307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathis Ferry Dental Associates, Inc. 701 Leader Ln Mount Pleasant SC 29464-8152 Ph: (843) 345-2307 | Mathis Ferry Dental Associates, Inc. 701 Leader Ln Mount Pleasant SC 29464-8152 Ph: (843) 345-2307 |
| NPI Number | 1134245145 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134245145 | NPI | - | NPPES |
| ZA9806 | Medicaid | SC | |
| 488297 | Other | SC | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 02529 (South Carolina) | Primary |
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