| Palmetto Endodontics, Llc | |
|
140 Summit Centre Dr Columbia SC 29229 | |
| (803) 217-0066 | |
| (803) 217-0078 |
| Full Name | Palmetto Endodontics, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 140 Summit Centre Dr, Columbia, South Carolina |
| Authorized Official Name and Position | Todd R Barrett (PRESIDENT) |
| Authorized Official Contact | 8032170066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Endodontics, Llc 140 Summit Centre Dr Columbia SC 29229 Ph: (803) 217-0066 | Palmetto Endodontics, Llc 140 Summit Centre Dr Columbia SC 29229 Ph: (803) 217-0066 |
| NPI Number | 1952637191 |
|---|---|
| Provider Enumeration Date | 10/22/2009 |
| Last Update Date | 01/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952637191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 3675 (South Carolina) | Primary |
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