| Palmetto Family And Cosmetic Dentistry Llc | |
|
434 N Guignard Drive Sumter SC 29150-4748 | |
| (803) 773-5411 | |
| (803) 773-8231 |
| Full Name | Palmetto Family And Cosmetic Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 434 N Guignard Drive, Sumter, South Carolina |
| Authorized Official Name and Position | Thaddeus H Vincent (DENTIST/OWNER) |
| Authorized Official Contact | 8037735411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Family And Cosmetic Dentistry Llc 2590 Tahoe Dr Sumter SC 29150-1860 Ph: (803) 773-5411 | Palmetto Family And Cosmetic Dentistry Llc 434 N Guignard Drive Sumter SC 29150-4748 Ph: (803) 773-5411 |
| NPI Number | 1841687241 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 08/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841687241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4327 (South Carolina) | Primary |
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