| R Nicholas Cost Jr Dds Pa | |
|
318 W Farley Ave Laurens SC 29360-3055 | |
| (864) 984-7323 | |
| Not Available |
| Full Name | R Nicholas Cost Jr Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 318 W Farley Ave, Laurens, South Carolina |
| Authorized Official Name and Position | Rodney Nicholas Cost (PRESIDENT) |
| Authorized Official Contact | 8649847323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R Nicholas Cost Jr Dds Pa 318 W Farley Ave Laurens SC 29360-3055 Ph: (864) 984-7323 | R Nicholas Cost Jr Dds Pa 318 W Farley Ave Laurens SC 29360-3055 Ph: (864) 984-7323 |
| NPI Number | 1699051466 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 06/30/2022 |
| Medicare PECOS PAC ID | 5698158749 |
|---|---|
| Medicare Enrollment ID | O20220823000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699051466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DGD 7082 (South Carolina) | Primary |
| Provider Name | Rodney Nicholas Cost |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1386807220 PECOS PAC ID: 6507249653 Enrollment ID: I20220823000634 |
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