| Prime Dental Llc | |
|
4130 Clemson Blvd Anderson SC 29621 | |
| (864) 332-1266 | |
| (864) 261-6988 |
| Full Name | Prime Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4130 Clemson Blvd, Anderson, South Carolina |
| Authorized Official Name and Position | Asa Duncan Shirley (OWNER/DENTIST) |
| Authorized Official Contact | 8643321266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Dental Llc 4130 Clemson Blvd Anderson SC 29621 Ph: (864) 332-1266 | Prime Dental Llc 4130 Clemson Blvd Anderson SC 29621 Ph: (864) 332-1266 |
| NPI Number | 1629621933 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 07/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629621933 | NPI | - | NPPES |
| ZZ2657 | Other | SC | - |
| 218632 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dentalworks Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 146 Commons Parkway, Anderson, SC 29621 Phone: 864-224-6300 Fax: 216-584-1154 | |
Southern Pediatric Dentistry P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 N Fant St, Anderson, SC 29621 Phone: 864-844-9393 Fax: 864-844-9395 | |
Trinity Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 N Fant St, Anderson, SC 29621 Phone: 864-224-4736 | |
Austin/pray Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 218a E Shockley Ferry Rd, Anderson, SC 29624 Phone: 864-226-4411 Fax: 864-226-9323 | |
Foster Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Ella St, Anderson, SC 29621 Phone: 864-261-8985 | |
Progrin Dental Of Westside, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Michelin Blvd, Anderson, SC 29625 Phone: 864-332-4117 | |
Cornerstone Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Mutual Dr, Anderson, SC 29621 Phone: 864-222-9001 |