| Alexis Collins Childrens Dentistry | |
|
392 Saint Andrews Rd Columbia SC 29210-4427 | |
| (803) 772-7302 | |
| (803) 772-7353 |
| Full Name | Alexis Collins Childrens Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 392 Saint Andrews Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Alexis Collins (OWNER) |
| Authorized Official Contact | 8037727302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Collins Childrens Dentistry 1774 Dutch Fork Rd Irmo SC 29063-8829 Ph: (803) 772-7302 | Alexis Collins Childrens Dentistry 392 Saint Andrews Rd Columbia SC 29210-4427 Ph: (803) 772-7302 |
| NPI Number | 1851662274 |
|---|---|
| Provider Enumeration Date | 01/17/2012 |
| Last Update Date | 12/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851662274 | NPI | - | NPPES |
| ZX4507 | Medicaid | SC | |
| Z17072 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4507 (South Carolina) | Primary |
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