| Mobile Dental Unit | |
|
130 Mallard St Greenville SC 29601-4046 | |
| (864) 729-8330 | |
| (855) 425-5034 |
| Full Name | Mobile Dental Unit |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 130 Mallard St, Greenville, South Carolina |
| Authorized Official Name and Position | J Brandon Gaffney (CEO & PRESIDENT) |
| Authorized Official Contact | 8647298330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Dental Unit Po Box 287 Greenville SC 29602-0287 Ph: (864) 729-8330 | Mobile Dental Unit 130 Mallard St Greenville SC 29601-4046 Ph: (864) 729-8330 |
| NPI Number | 1932569621 |
|---|---|
| Provider Enumeration Date | 02/24/2016 |
| Last Update Date | 11/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932569621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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