| Dental Associates Of Easley, Pa | |
|
807 S Pendleton St Easley SC 29640-3527 | |
| (864) 859-0111 | |
| (864) 859-0112 |
| Full Name | Dental Associates Of Easley, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 807 S Pendleton St, Easley, South Carolina |
| Authorized Official Name and Position | Shawn C Edwards (PRESIDENT) |
| Authorized Official Contact | 8648590111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Associates Of Easley, Pa 807 S Pendleton St Easley SC 29640-3527 Ph: (864) 859-0111 | Dental Associates Of Easley, Pa 807 S Pendleton St Easley SC 29640-3527 Ph: (864) 859-0111 |
| NPI Number | 1295793289 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295793289 | NPI | - | NPPES |
| ZA9836 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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