| Rural Health Dental Services | |
|
1000 Clyburn Pl Aiken SC 29801-4193 | |
| (803) 380-7000 | |
| Not Available |
| Full Name | Rural Health Dental Services |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1000 Clyburn Pl, Aiken, South Carolina |
| Authorized Official Name and Position | Carolyn Emanuel- Mcclain (CEO) |
| Authorized Official Contact | 8033807000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Dental Services Po Box 277 Clearwater SC 29822-0277 Ph: (803) 380-7000 | Rural Health Dental Services 1000 Clyburn Pl Aiken SC 29801-4193 Ph: (803) 380-7000 |
| NPI Number | 1053852525 |
|---|---|
| Provider Enumeration Date | 03/16/2017 |
| Last Update Date | 03/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053852525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (South Carolina) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (South Carolina) | Secondary |
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