Wood Creek Dental Pa | |
2101 Pelham Road Granville SC 29615 | |
(864) 288-5300 | |
(864) 288-9430 |
Full Name | Wood Creek Dental Pa |
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Speciality | Dentist |
Location | 2101 Pelham Road, Granville, South Carolina |
Authorized Official Name and Position | Dale Edison Hunt (PRESIDENT) |
Authorized Official Contact | 8642885300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wood Creek Dental Pa Po Box 25604 2101 Pelham Road Granville SC 29615 Ph: (864) 288-5300 | Wood Creek Dental Pa 2101 Pelham Road Granville SC 29615 Ph: (864) 288-5300 |
NPI Number | 1265440242 |
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Provider Enumeration Date | 08/04/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1265440242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2234 (South Carolina) | Primary |
122300000X | Dentist | 3913 (South Carolina) | Secondary |
122300000X | Dentist | 4194 (South Carolina) | Secondary |