| Trailhead Family Dentistry Llc | |
|
28 S Main St Travelers Rest SC 29690-1810 | |
| (864) 834-8001 | |
| (864) 834-5563 |
| Full Name | Trailhead Family Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 28 S Main St, Travelers Rest, South Carolina |
| Authorized Official Name and Position | Brian Christopher Price (OWNER) |
| Authorized Official Contact | 8648348001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trailhead Family Dentistry Llc 28 S Main St Travelers Rest SC 29690-1810 Ph: (864) 834-8001 | Trailhead Family Dentistry Llc 28 S Main St Travelers Rest SC 29690-1810 Ph: (864) 834-8001 |
| NPI Number | 1063829489 |
|---|---|
| Provider Enumeration Date | 07/17/2014 |
| Last Update Date | 07/17/2014 |
| Medicare PECOS PAC ID | 5890164370 |
|---|---|
| Medicare Enrollment ID | O20221205001678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063829489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Brian Christopher Price |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1295056232 PECOS PAC ID: 6800195892 Enrollment ID: I20221205001920 |
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