| Midlands Dental, Pa | |
|
9 Surrey Ct Columbia SC 29212-3139 | |
| (803) 772-5628 | |
| (803) 798-2193 |
| Full Name | Midlands Dental, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9 Surrey Ct, Columbia, South Carolina |
| Authorized Official Name and Position | Rudolph Cole Harrington (PRESIDENT) |
| Authorized Official Contact | 8037725628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midlands Dental, Pa 9 Surrey Ct Columbia SC 29212-3139 Ph: (803) 772-5628 | Midlands Dental, Pa 9 Surrey Ct Columbia SC 29212-3139 Ph: (803) 772-5628 |
| NPI Number | 1972525871 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972525871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (South Carolina) | Primary |
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