| Palmetto Family Dentistry Of Anderson, Llc | |
|
2713 N Main St Anderson SC 29621-3282 | |
| (864) 226-8272 | |
| (864) 964-9538 |
| Full Name | Palmetto Family Dentistry Of Anderson, Llc |
|---|---|
| Speciality | Dentist |
| Location | 2713 N Main St, Anderson, South Carolina |
| Authorized Official Name and Position | Jason Christopher Mitchell (PRESIDENT) |
| Authorized Official Contact | 8642268272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Family Dentistry Of Anderson, Llc 2713 N Main St Anderson SC 29621-3282 Ph: (864) 226-8272 | Palmetto Family Dentistry Of Anderson, Llc 2713 N Main St Anderson SC 29621-3282 Ph: (864) 226-8272 |
| NPI Number | 1811377120 |
|---|---|
| Provider Enumeration Date | 06/02/2015 |
| Last Update Date | 06/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811377120 | NPI | - | NPPES |
| ZA9700 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3611 (South Carolina) | Primary |
| 122300000X | Dentist | 4399 (South Carolina) | Secondary |
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