| Palmetto Comprehensive Dentistry Llc | |
|
209 West Main Street Lexington SC 29072-2633 | |
| (803) 359-0566 | |
| (803) 359-5170 |
| Full Name | Palmetto Comprehensive Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 209 West Main Street, Lexington, South Carolina |
| Authorized Official Name and Position | Steven James Hutchinson (DENTIST OWNER) |
| Authorized Official Contact | 8033590566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Comprehensive Dentistry Llc 209 West Main Street Lexington SC 29072-2633 Ph: (803) 359-0566 | Palmetto Comprehensive Dentistry Llc 209 West Main Street Lexington SC 29072-2633 Ph: (803) 359-0566 |
| NPI Number | 1740351097 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740351097 | NPI | - | NPPES |
| ZA9471 | Medicaid | SC | |
| ZX3788 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3788 (South Carolina) | Primary |
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