| Trinity Endodontics Pa | |
|
627 Bass Drive Santee SC 29142-0529 | |
| (803) 854-2431 | |
| Not Available |
| Full Name | Trinity Endodontics Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 627 Bass Drive, Santee, South Carolina |
| Authorized Official Name and Position | Melanie Anne Brown (OWNER) |
| Authorized Official Contact | 8038542431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Endodontics Pa Po Box 529 Santee SC 29142-0529 Ph: (803) 854-2431 | Trinity Endodontics Pa 627 Bass Drive Santee SC 29142-0529 Ph: (803) 854-2431 |
| NPI Number | 1154407930 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 01/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154407930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3203 (South Carolina) | Secondary |
| 1223E0200X | Dentist - Endodontics | 463 (South Carolina) | Primary |
Santee Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 B Plaza Circle, Santee, SC 29142 Phone: 803-854-2600 Fax: 803-854-2660 |