Mighty Mouths | |
218 New Neely Ferry Rd Mauldin SC 29662-2615 | |
(864) 627-0029 | |
Not Available |
Full Name | Mighty Mouths |
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Speciality | Dentist - Pediatric Dentistry |
Location | 218 New Neely Ferry Rd, Mauldin, South Carolina |
Authorized Official Name and Position | Tu-wanda Marable Martin (OWNER/DENTIST) |
Authorized Official Contact | 8646270029 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mighty Mouths Po Box 962 Mauldin SC 29662-0962 Ph: (864) 627-0029 | Mighty Mouths 218 New Neely Ferry Rd Mauldin SC 29662-2615 Ph: (864) 627-0029 |
NPI Number | 1629230644 |
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Provider Enumeration Date | 06/30/2008 |
Last Update Date | 06/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629230644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 687 (South Carolina) | Primary |
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