| Palmetto Denture Care Pa | |
|
975 N Church St Spartanburg SC 29303 | |
| (864) 582-4308 | |
| (864) 596-4492 |
| Full Name | Palmetto Denture Care Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 975 N Church St, Spartanburg, South Carolina |
| Authorized Official Name and Position | Chris F Just (BUSINESS MANAGER) |
| Authorized Official Contact | 8645824308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Denture Care Pa 975 N Church St Spartanburg SC 29303-4104 Ph: (864) 582-4308 | Palmetto Denture Care Pa 975 N Church St Spartanburg SC 29303 Ph: (864) 582-4308 |
| NPI Number | 1063689503 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 07/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063689503 | NPI | - | NPPES |
| ZA9415 | Medicaid | SC | |
| 5950162 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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