| R Boyd Hendrix Dmd Pa | |
|
1534 Platt Springs Road West Columbia SC 29169 | |
| (803) 794-5555 | |
| (803) 791-8490 |
| Full Name | R Boyd Hendrix Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 1534 Platt Springs Road, West Columbia, South Carolina |
| Authorized Official Name and Position | R Boyd Hendrix (PRESIDENT) |
| Authorized Official Contact | 8037945555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Boyd Hendrix Dmd Pa Po Box 4855 West Columbia SC 29171 Ph: (803) 794-5555 | R Boyd Hendrix Dmd Pa 1534 Platt Springs Road West Columbia SC 29169 Ph: (803) 794-5555 |
| NPI Number | 1740356260 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740356260 | NPI | - | NPPES |
| ZA9967 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2870 (South Carolina) | Primary |
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