| Palmetto Dental Associates Pa | |
|
216 Palmetto Park Blvd Lexington SC 29072 | |
| (803) 808-0888 | |
| (803) 808-0891 |
| Full Name | Palmetto Dental Associates Pa |
|---|---|
| Speciality | Dentist |
| Location | 216 Palmetto Park Blvd, Lexington, South Carolina |
| Authorized Official Name and Position | Michael Barnwell Davenport (GENERAL PARTNER) |
| Authorized Official Contact | 8038080888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Dental Associates Pa 216 Palmetto Park Blvd Lexington SC 29072 Ph: (803) 808-0888 | Palmetto Dental Associates Pa 216 Palmetto Park Blvd Lexington SC 29072 Ph: (803) 808-0888 |
| NPI Number | 1629142807 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629142807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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