| Sunset Children's Dentistry | |
|
5080 Sunset Blvd Suite B Lexington SC 29072-7051 | |
| (803) 807-2787 | |
| Not Available |
| Full Name | Sunset Children's Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5080 Sunset Blvd, Lexington, South Carolina |
| Authorized Official Name and Position | Kathi Sample (DENTIST/ OWNER) |
| Authorized Official Contact | 8038072787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunset Children's Dentistry 5080 Sunset Blvd Suite B Lexington SC 29072-7051 Ph: (803) 807-2787 | Sunset Children's Dentistry 5080 Sunset Blvd Suite B Lexington SC 29072-7051 Ph: (803) 807-2787 |
| NPI Number | 1639571607 |
|---|---|
| Provider Enumeration Date | 09/22/2014 |
| Last Update Date | 09/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639571607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
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