| Trinity Dental Center, Llc | |
|
1221 N Fant St Anderson SC 29621-4821 | |
| (864) 224-4736 | |
| Not Available |
| Full Name | Trinity Dental Center, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1221 N Fant St, Anderson, South Carolina |
| Authorized Official Name and Position | Wallace L Howell (MANAGER) |
| Authorized Official Contact | 8642244736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Dental Center, Llc Po Box 202 Anderson SC 29622-0202 Ph: () - | Trinity Dental Center, Llc 1221 N Fant St Anderson SC 29621-4821 Ph: (864) 224-4736 |
| NPI Number | 1215119227 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 11/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215119227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3151 (South Carolina) | Primary |
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