| John C Cosby Jr Dmd Pa | |
|
745 University Village Drive Blythewood SC 29016 | |
| (803) 754-9160 | |
| (803) 754-9162 |
| Full Name | John C Cosby Jr Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 745 University Village Drive, Blythewood, South Carolina |
| Authorized Official Name and Position | John C Cosby (OWNER PRESIDENT) |
| Authorized Official Contact | 8037549160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C Cosby Jr Dmd Pa Po Box 969 Blythewood SC 29016 Ph: (803) 754-9160 | John C Cosby Jr Dmd Pa 745 University Village Drive Blythewood SC 29016 Ph: (803) 754-9160 |
| NPI Number | 1851559629 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851559629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | SC1677 (South Carolina) | Primary |
Nina H. Jones Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 745 University Village Dr, Blythewood, SC 29016 Phone: 803-754-9160 Fax: 803-754-9162 | |
Dental Professionals Of South Carolina, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 Main Street, Blythewood, SC 29016 Phone: 803-754-9545 Fax: 803-754-2158 |