| Newberry Dental, Pc | |
|
2706 Main St Newberry SC 29108-4004 | |
| (803) 276-2090 | |
| Not Available |
| Full Name | Newberry Dental, Pc |
|---|---|
| Speciality | Dentist |
| Location | 2706 Main St, Newberry, South Carolina |
| Authorized Official Name and Position | John Campbell Lake (GENERAL DENTIST) |
| Authorized Official Contact | 8649939061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newberry Dental, Pc 2706 Main St Newberry SC 29108-4004 Ph: (803) 276-2090 | Newberry Dental, Pc 2706 Main St Newberry SC 29108-4004 Ph: (803) 276-2090 |
| NPI Number | 1457898132 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 01/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457898132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4593 (South Carolina) | Primary |
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