Palmetto Dental Health Associates Pa | |
103 East Tatum Avenue Mccoll SC 29570-2323 | |
(843) 523-5291 | |
(843) 523-9714 |
Full Name | Palmetto Dental Health Associates Pa |
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Speciality | Dentist |
Location | 103 East Tatum Avenue, Mccoll, South Carolina |
Authorized Official Name and Position | Kevin Allen Jasinski (CO OWNER DENTIST) |
Authorized Official Contact | 8435235291 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palmetto Dental Health Associates Pa 103 East Tatum Avenue Mccoll SC 29570-2323 Ph: (843) 523-5291 | Palmetto Dental Health Associates Pa 103 East Tatum Avenue Mccoll SC 29570-2323 Ph: (843) 523-5291 |
NPI Number | 1821077751 |
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Provider Enumeration Date | 01/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821077751 | NPI | - | NPPES |
ZA9934 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3114 (South Carolina) | Primary |