| Anderson Periodontic Associates | |
|
514 Reed Rd Anderson SC 29621-2058 | |
| (864) 225-3141 | |
| (864) 225-3142 |
| Full Name | Anderson Periodontic Associates |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 514 Reed Rd, Anderson, South Carolina |
| Authorized Official Name and Position | Mark R Baker (PRESIDENT) |
| Authorized Official Contact | 8642253141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Periodontic Associates 514 Reed Rd Anderson SC 29621-2058 Ph: (864) 225-3141 | Anderson Periodontic Associates 514 Reed Rd Anderson SC 29621-2058 Ph: (864) 225-3141 |
| NPI Number | 1588842116 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 10/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588842116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 1496-117 (South Carolina) | Primary |
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