| Sfd Knightsville Llc | |
|
487 W Butternut Rd Summerville SC 29483-5568 | |
| (843) 871-0842 | |
| Not Available |
| Full Name | Sfd Knightsville Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 487 W Butternut Rd, Summerville, South Carolina |
| Authorized Official Name and Position | Angela Bazzle (OPERATIONS MANAGER) |
| Authorized Official Contact | 8438710842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sfd Knightsville Llc 1971 N Main St Summerville SC 29486-7890 Ph: (843) 871-0842 | Sfd Knightsville Llc 487 W Butternut Rd Summerville SC 29483-5568 Ph: (843) 871-0842 |
| NPI Number | 1720552524 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720552524 | NPI | - | NPPES |
| ZX8553 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Sfd Kids Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Parish Farms Drive, Summerville, SC 29486 Phone: 843-871-0842 | |
Aos N Main Street Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 N Main St, Summerville, SC 29483 Phone: 843-871-0842 | |
Lowcountry Dentistry Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Old Trolley Rd, Suite 109, Summerville, SC 29485 Phone: 843-821-2500 Fax: 843-821-2092 | |
A. Frederick Solomon Dmd P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1971 N Main St, Summerville, SC 29483 Phone: 843-871-0842 Fax: 843-832-4531 | |
Dental Associates Of Summerville, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 W 5th North St, Summerville, SC 29483 Phone: 843-873-3706 | |
Dentalsmart Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 437 N Main St, Summerville, SC 29483 Phone: 843-614-6769 | |
Foster Orthodontics, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 953 Orangeburg Rd Ste A, Summerville, SC 29483 Phone: 843-281-2001 Fax: 843-281-2002 |