| Anderson Pediatric Dentistry | |
|
198 Mutual Dr Anderson SC 29621-1767 | |
| (864) 884-6522 | |
| Not Available |
| Full Name | Anderson Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 198 Mutual Dr, Anderson, South Carolina |
| Authorized Official Name and Position | Kathleen Wilcox Monn (PRESIDENT) |
| Authorized Official Contact | 8648846522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Pediatric Dentistry 35 Willow Oak Ct Simpsonville SC 29681-4999 Ph: (864) 884-6522 | Anderson Pediatric Dentistry 198 Mutual Dr Anderson SC 29621-1767 Ph: (864) 884-6522 |
| NPI Number | 1316244858 |
|---|---|
| Provider Enumeration Date | 02/18/2011 |
| Last Update Date | 02/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316244858 | NPI | - | NPPES |
| ZX3818 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3818 (South Carolina) | Primary |
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