| Midlands Family Dentistry | |
|
2844 Sunset Blvd West Columbia SC 29169-3420 | |
| (803) 731-0803 | |
| Not Available |
| Full Name | Midlands Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2844 Sunset Blvd, West Columbia, South Carolina |
| Authorized Official Name and Position | Larry D Rickborn (OWNER) |
| Authorized Official Contact | 8037310803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midlands Family Dentistry 2844 Sunset Blvd West Columbia SC 29169-3420 Ph: (803) 731-0803 | Midlands Family Dentistry 2844 Sunset Blvd West Columbia SC 29169-3420 Ph: (803) 731-0803 |
| NPI Number | 1346406733 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346406733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | SC2345 (South Carolina) | Primary |
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