| Wedgewood Square Dental | |
|
1767 Heckle Blvd Ste 102 Rock Hill SC 29732-1878 | |
| (803) 992-8531 | |
| (803) 980-8873 |
| Full Name | Wedgewood Square Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1767 Heckle Blvd Ste 102, Rock Hill, South Carolina |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wedgewood Square Dental 1767 Heckle Blvd Ste 102 Rock Hill SC 29732-1878 Ph: (803) 992-8531 | Wedgewood Square Dental 1767 Heckle Blvd Ste 102 Rock Hill SC 29732-1878 Ph: (803) 992-8531 |
| NPI Number | 1043827314 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 01/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043827314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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