| Northeast Childrens Dentistry | |
|
147 Summit Centre Dr. Columbia SC 29229 | |
| (803) 865-1421 | |
| (866) 415-7943 |
| Full Name | Northeast Childrens Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 147 Summit Centre Dr., Columbia, South Carolina |
| Authorized Official Name and Position | Chrislyn Earline Lawhon (DENTIST/OWNER) |
| Authorized Official Contact | 8038651421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Childrens Dentistry 147 Summit Centre Dr. Columbia SC 29229 Ph: (803) 865-1421 | Northeast Childrens Dentistry 147 Summit Centre Dr. Columbia SC 29229 Ph: (803) 865-1421 |
| NPI Number | 1598094138 |
|---|---|
| Provider Enumeration Date | 12/10/2009 |
| Last Update Date | 12/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598094138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3891 (South Carolina) | Primary |
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