| Dr Byron K. Bridges Dds Pa | |
|
3037 Geer Hwy Marietta SC 29661 | |
| (864) 836-8416 | |
| (864) 836-0780 |
| Full Name | Dr Byron K. Bridges Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3037 Geer Hwy, Marietta, South Carolina |
| Authorized Official Name and Position | Bryon K. Bridges (DR) |
| Authorized Official Contact | 8648368416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Byron K. Bridges Dds Pa P.o. Box 491 3037 Gerr Hwy Marietta SC 29661-0491 Ph: (864) 836-8416 | Dr Byron K. Bridges Dds Pa 3037 Geer Hwy Marietta SC 29661 Ph: (864) 836-8416 |
| NPI Number | 1952475949 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952475949 | NPI | - | NPPES |
| Z11719 | Medicaid | SC | |
| 1952475949 | Medicaid | SC | |
| ZA11719 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1171 (South Carolina) | Primary |