Palmetto Dental Services | |
1330 Gregg St Columbia SC 29201-3526 | |
(803) 254-1911 | |
Not Available |
Full Name | Palmetto Dental Services |
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Speciality | Dentist - General Practice |
Location | 1330 Gregg St, Columbia, South Carolina |
Authorized Official Name and Position | Akiaya Tanenka Harris (OFFICE MANAGER) |
Authorized Official Contact | 8032541911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palmetto Dental Services 1330 Gregg St Columbia SC 29201-3526 Ph: (803) 254-1911 | Palmetto Dental Services 1330 Gregg St Columbia SC 29201-3526 Ph: (803) 254-1911 |
NPI Number | 1831156892 |
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Provider Enumeration Date | 04/26/2006 |
Last Update Date | 08/12/2010 |
Identifier | Type | State | Issuer |
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1831156892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3578 (South Carolina) | Primary |
1223G0001X | Dentist - General Practice | 3755 (South Carolina) | Secondary |
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