| Dr Johan I Kolmodin, DMD | |
|
1005 Tanner Ford Blvd, Suite 102, Hanahan, SC 29410 | |
| (843) 797-6287 | |
| (843) 797-6292 |
| Full Name | Dr Johan I Kolmodin |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1005 Tanner Ford Blvd, Hanahan, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497721955 | NPI | - | NPPES |
| 963368 | Other | GA | BLUE CROSS |
| Z34368 | Medicaid | SC | |
| 817149 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3436 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johan I Kolmodin, DMD 1005 Tanner Ford Blvd, Suite 102, Hanahan, SC 29410 Ph: (843) 797-6287 | Dr Johan I Kolmodin, DMD 1005 Tanner Ford Blvd, Suite 102, Hanahan, SC 29410 Ph: (843) 797-6287 |
Dr. John Swygert Timmerman Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1024 Dennis Dr, Hanahan, SC 29410 Phone: 843-747-0645 | |
Dr. Benjamin Lapke Coenen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 996 Tanner Ford Blvd, Hanahan, SC 29410 Phone: 843-973-8236 | |
Isabel Ghowanlu Driggers, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 Tanner Ford Blvd, Suite 370, Hanahan, SC 29410 Phone: 843-818-5437 Fax: 843-725-1594 | |
Dr. Jessica Wallace Mirrielees, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 996 Tanner Ford Blvd, Hanahan, SC 29410 Phone: 843-212-8810 | |
Dr. Ryan Scott Robinson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1281 Yeamans Hall Rd, Hanahan, SC 29410 Phone: 843-554-9332 Fax: 843-554-1525 | |
Dr. Alvin Weatherford, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1224 Yeamans Hall Rd, Hanahan, SC 29410 Phone: 843-554-4545 Fax: 843-554-4548 | |
Dr. Kjersti Damsker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 Tanner Ford Blvd., Hanahan, SC 29410 Phone: 843-818-5437 Fax: 843-797-2559 |