| 114 Kershaw Dental, Pc | |
|
114 E Hilton St Kershaw SC 29067-1318 | |
| (803) 475-6052 | |
| Not Available |
| Full Name | 114 Kershaw Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 114 E Hilton St, Kershaw, South Carolina |
| Authorized Official Name and Position | Matthew Cook (OWNER) |
| Authorized Official Contact | 8034791795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 114 Kershaw Dental, Pc Po Box 330 Edgefield SC 29824-0330 Ph: () - | 114 Kershaw Dental, Pc 114 E Hilton St Kershaw SC 29067-1318 Ph: (803) 475-6052 |
| NPI Number | 1043699713 |
|---|---|
| Provider Enumeration Date | 05/27/2015 |
| Last Update Date | 05/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043699713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Carolina Dental Partners, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 S Cleveland St, Kershaw, SC 29067 Phone: 803-475-9440 |