| Carolina Children's Dentistry Sumter | |
|
500 Physicians Ln Sumter SC 29150-3370 | |
| (803) 775-4793 | |
| (803) 934-9943 |
| Full Name | Carolina Children's Dentistry Sumter |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 500 Physicians Ln, Sumter, South Carolina |
| Authorized Official Name and Position | Felicia L Goins (OWNER) |
| Authorized Official Contact | 8037754793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Children's Dentistry Sumter 500 Physicians Ln Sumter SC 29150-3370 Ph: (803) 775-4793 | Carolina Children's Dentistry Sumter 500 Physicians Ln Sumter SC 29150-3370 Ph: (803) 775-4793 |
| NPI Number | 1528112398 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 06/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528112398 | NPI | - | NPPES |
| ZA9642 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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