| Powdersville Family Dentistry, Llc | |
|
102 Clair Dr Powdersville SC 29673-7771 | |
| (864) 269-3662 | |
| Not Available |
| Full Name | Powdersville Family Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 102 Clair Dr, Powdersville, South Carolina |
| Authorized Official Name and Position | John Kennedy (OWNER) |
| Authorized Official Contact | 8643862753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powdersville Family Dentistry, Llc Po Box 31625 Greenville SC 29608-1625 Ph: (864) 501-0070 | Powdersville Family Dentistry, Llc 102 Clair Dr Powdersville SC 29673-7771 Ph: (864) 269-3662 |
| NPI Number | 1326554841 |
|---|---|
| Provider Enumeration Date | 12/19/2017 |
| Last Update Date | 12/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326554841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Family Dental Care Of Powdersville Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Mcneely Rd, Powdersville, SC 29673 Phone: 864-509-0040 | |
Omscor Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Wall St, Powdersville, SC 29673 Phone: 864-420-2738 |