| Palmetto Smiles | |
|
139 Whiteford Way Lexington SC 29072-7965 | |
| (803) 951-9100 | |
| (803) 951-1910 |
| Full Name | Palmetto Smiles |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 139 Whiteford Way, Lexington, South Carolina |
| Authorized Official Name and Position | Kevin M. Raines (PARTNER) |
| Authorized Official Contact | 8039519100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Smiles 139 Whiteford Way Lexington SC 29072-7965 Ph: (803) 951-9100 | Palmetto Smiles 139 Whiteford Way Lexington SC 29072-7965 Ph: (803) 951-9100 |
| NPI Number | 1922214766 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922214766 | NPI | - | NPPES |
| ZA9709 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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