The Dentist Office | |
1209 N Fraser St Georgetown SC 29440-2853 | |
(843) 546-2273 | |
(843) 546-7777 |
Full Name | The Dentist Office |
---|---|
Speciality | Dentist - General Practice |
Location | 1209 N Fraser St, Georgetown, South Carolina |
Authorized Official Name and Position | John A. Miller (PROPRIETOR) |
Authorized Official Contact | 8435462273 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Dentist Office 1209 N Fraser St Georgetown SC 29440-2853 Ph: (843) 546-2273 | The Dentist Office 1209 N Fraser St Georgetown SC 29440-2853 Ph: (843) 546-2273 |
NPI Number | 1801019344 |
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Provider Enumeration Date | 04/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801019344 | NPI | - | NPPES |
Z29425 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2942 (South Carolina) | Primary |
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