| Danielle S. Ezell, Dmd, Pa | |
|
9 W Madison St York SC 29745-1143 | |
| (803) 684-6545 | |
| (803) 684-0239 |
| Full Name | Danielle S. Ezell, Dmd, Pa |
|---|---|
| Speciality | Dentist |
| Location | 9 W Madison St, York, South Carolina |
| Authorized Official Name and Position | Danielle Suzette Ezell (DENTIST/OWNER) |
| Authorized Official Contact | 8036846545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle S. Ezell, Dmd, Pa Po Box 395 York SC 29745-0395 Ph: (803) 684-6545 | Danielle S. Ezell, Dmd, Pa 9 W Madison St York SC 29745-1143 Ph: (803) 684-6545 |
| NPI Number | 1699903567 |
|---|---|
| Provider Enumeration Date | 06/30/2009 |
| Last Update Date | 06/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699903567 | NPI | - | NPPES |
| ZX4367 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4367 (South Carolina) | Primary |
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