Pelion Family Dentistry | |
8063 Edmund Hwy Pelion SC 29123-9805 | |
(803) 894-3736 | |
(803) 894-5315 |
Full Name | Pelion Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 8063 Edmund Hwy, Pelion, South Carolina |
Authorized Official Name and Position | Delgado Cantave (CEO) |
Authorized Official Contact | 8037335969 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pelion Family Dentistry Po Box 3788 Columbia SC 29230-3788 Ph: (803) 733-5969 | Pelion Family Dentistry 8063 Edmund Hwy Pelion SC 29123-9805 Ph: (803) 894-3736 |
NPI Number | 1891148367 |
---|---|
Provider Enumeration Date | 07/19/2016 |
Last Update Date | 02/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891148367 | NPI | - | NPPES |
ZA9096 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |