| Thomas E Payton Dmd Pc | |
|
154 Pendleton St Nw Aiken SC 29801-3860 | |
| (803) 649-5558 | |
| (803) 641-0692 |
| Full Name | Thomas E Payton Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 154 Pendleton St Nw, Aiken, South Carolina |
| Authorized Official Name and Position | Thomas E Payton (OWNER) |
| Authorized Official Contact | 8036495558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E Payton Dmd Pc 154 Pendleton St Nw P.o. Box 1647 Aiken SC 29801-3860 Ph: (803) 649-5558 | Thomas E Payton Dmd Pc 154 Pendleton St Nw Aiken SC 29801-3860 Ph: (803) 649-5558 |
| NPI Number | 1922143874 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922143874 | NPI | - | NPPES |
| 208375 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2377 (South Carolina) | Primary |
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