| Palmetto Prosthodontics, Llc | |
|
145 Woodruff Place Cir Simpsonville SC 29681-3672 | |
| (864) 757-9433 | |
| Not Available |
| Full Name | Palmetto Prosthodontics, Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 145 Woodruff Place Cir, Simpsonville, South Carolina |
| Authorized Official Name and Position | Jason Minton (PRESIDENT) |
| Authorized Official Contact | 8647579433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Prosthodontics, Llc 145 Woodruff Place Cir Simpsonville SC 29681-3672 Ph: () - | Palmetto Prosthodontics, Llc 145 Woodruff Place Cir Simpsonville SC 29681-3672 Ph: (864) 757-9433 |
| NPI Number | 1497146906 |
|---|---|
| Provider Enumeration Date | 02/05/2015 |
| Last Update Date | 02/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497146906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 7043 (South Carolina) | Primary |
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