| Prisma Health-midlands | |
|
10 Richland Medical Park Dr Palmetto Health Dental Clinic Columbia SC 29203-6892 | |
| (803) 296-2548 | |
| (803) 296-2548 |
| Full Name | Prisma Health-midlands |
|---|---|
| Speciality | Dentist |
| Location | 10 Richland Medical Park Dr, Columbia, South Carolina |
| Authorized Official Name and Position | Polly H Miller (VP PAYOR STRATEGIES ALIGNMENT) |
| Authorized Official Contact | 8645222286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prisma Health-midlands Po Box 5301 Palmetto Health Dental Clinic Columbia SC 29250-5301 Ph: (803) 296-2548 | Prisma Health-midlands 10 Richland Medical Park Dr Palmetto Health Dental Clinic Columbia SC 29203-6892 Ph: (803) 296-2548 |
| NPI Number | 1740334911 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 04/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740334911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (South Carolina) | Primary |
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