| Orangeburg Family Dentistry,llc | |
|
695 Laurel St Orangeburg SC 29115-4834 | |
| (803) 536-6440 | |
| (803) 268-9921 |
| Full Name | Orangeburg Family Dentistry,llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 695 Laurel St, Orangeburg, South Carolina |
| Authorized Official Name and Position | Jane D. Hartzog (OFFICE MANAGER) |
| Authorized Official Contact | 8035366440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orangeburg Family Dentistry,llc 695 Laurel St Orangeburg SC 29115-4834 Ph: (803) 536-6440 | Orangeburg Family Dentistry,llc 695 Laurel St Orangeburg SC 29115-4834 Ph: (803) 536-6440 |
| NPI Number | 1831250273 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831250273 | NPI | - | NPPES |
| ZA9827 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1836 (South Carolina) | Primary |
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