| Premier Dentistry Of Blythewood | |
|
213 Main Street Blythewood SC 29016-0589 | |
| (803) 754-9545 | |
| (803) 754-2158 |
| Full Name | Premier Dentistry Of Blythewood |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 213 Main Street, Blythewood, South Carolina |
| Authorized Official Name and Position | Kim Wilson (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dentistry Of Blythewood Po Box 589 Blythewood SC 29016-0589 Ph: (803) 754-9545 | Premier Dentistry Of Blythewood 213 Main Street Blythewood SC 29016-0589 Ph: (803) 754-9545 |
| NPI Number | 1730455965 |
|---|---|
| Provider Enumeration Date | 04/02/2012 |
| Last Update Date | 04/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730455965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Nina H. Jones Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 745 University Village Dr, Blythewood, SC 29016 Phone: 803-754-9160 Fax: 803-754-9162 | |
Blythwood Village Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 745 University Village Drive, Blythewood, SC 29016 Phone: 803-754-9160 Fax: 803-754-9162 |