Village Dentistry, Pa | |
130 Gardners Cir Pmb#131 Johns Island SC 29455-5467 | |
(843) 768-8376 | |
Not Available |
Full Name | Village Dentistry, Pa |
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Speciality | Clinic/center - Dental |
Location | 130 Gardners Cir, Johns Island, South Carolina |
Authorized Official Name and Position | Robert W Haile (PRESIDENT) |
Authorized Official Contact | 8437688376 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Village Dentistry, Pa 130 Gardners Cir Pmb#131 Johns Island SC 29455-5467 Ph: (843) 768-8376 | Village Dentistry, Pa 130 Gardners Cir Pmb#131 Johns Island SC 29455-5467 Ph: (843) 768-8376 |
NPI Number | 1679767073 |
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Provider Enumeration Date | 08/29/2007 |
Last Update Date | 11/20/2007 |
Identifier | Type | State | Issuer |
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1679767073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 1688 (South Carolina) | Primary |
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