| White Periodontics & Implant Dentistry | |
|
440 Society Hill Dr Suite 201 Aiken SC 29803-1754 | |
| (864) 557-2656 | |
| Not Available |
| Full Name | White Periodontics & Implant Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 440 Society Hill Dr, Aiken, South Carolina |
| Authorized Official Name and Position | Tyresia White (DMD) |
| Authorized Official Contact | 8645572656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Periodontics & Implant Dentistry 440 Society Hill Dr Suite 201 Aiken SC 29803-1754 Ph: () - | White Periodontics & Implant Dentistry 440 Society Hill Dr Suite 201 Aiken SC 29803-1754 Ph: (864) 557-2656 |
| NPI Number | 1780129122 |
|---|---|
| Provider Enumeration Date | 12/20/2016 |
| Last Update Date | 12/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780129122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8701 (South Carolina) | Primary |
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