| Omni Dental Of Sumter Llc | |
|
625 Constitution Dr Sumter SC 29154-8190 | |
| (803) 773-5413 | |
| Not Available |
| Full Name | Omni Dental Of Sumter Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 625 Constitution Dr, Sumter, South Carolina |
| Authorized Official Name and Position | Robert Ellis (OWNER) |
| Authorized Official Contact | 8034135100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Dental Of Sumter Llc 212 Outlet Pointe Blvd Columbia SC 29210-5667 Ph: (803) 830-3008 | Omni Dental Of Sumter Llc 625 Constitution Dr Sumter SC 29154-8190 Ph: (803) 773-5413 |
| NPI Number | 1275356289 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275356289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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