Dr Winferd Dale Holt Iii, DMD | |
10 Richland Medical Park Dr Ste A, Columbia, SC 29203-6892 | |
(803) 434-6567 | |
(803) 434-6299 |
Full Name | Dr Winferd Dale Holt Iii |
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Gender | Male |
Speciality | Dentist |
Location | 10 Richland Medical Park Dr Ste A, Columbia, 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 |
---|---|---|---|
1861122814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 10149 (South Carolina) | Secondary |
122300000X | Dentist | 10149 (South Carolina) | Primary |
Entity Name | Prisma Health Medical Group-midlands |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
Mailing Address | Practice Location Address |
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Dr Winferd Dale Holt Iii, DMD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Dr Winferd Dale Holt Iii, DMD 10 Richland Medical Park Dr Ste A, Columbia, SC 29203-6892 Ph: (803) 434-6567 |
Dr. Christopher Robnett, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 122 N Brickyard Rd, Columbia, SC 29223 Phone: 803-736-1024 Fax: 803-699-3284 | |
Katelyn Nevitt, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 460 W Killian Rd, Columbia, SC 29203 Phone: 803-814-0102 | |
Dr. Deidre Berger Crockett, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5251 Forest Dr, Columbia, SC 29206 Phone: 803-787-9793 Fax: 803-738-0300 | |
Dr. Howard Stone Denny Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5211 N Trenholm Rd, Columbia, SC 29206 Phone: 803-782-0965 Fax: 803-782-3404 | |
Me'chell Littatta James, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3000 Two Notch Rd, Columbia, SC 29204 Phone: 803-691-9930 Fax: 803-691-9322 | |
Dr. Sarah Anne H Knowlton, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3731 Forest Dr, Columbia, SC 29204 Phone: 803-782-8786 | |
Dr. Louis Roncaglione, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1320 Elmtree Rd, Columbia, SC 29209 Phone: 803-783-9900 |