| Drs Hare And Martin Pa | |
|
208 N Walnut St Seneca SC 29678 | |
| (864) 882-2372 | |
| (864) 886-0063 |
| Full Name | Drs Hare And Martin Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 208 N Walnut St, Seneca, South Carolina |
| Authorized Official Name and Position | Theodore H Martin (DENTIST) |
| Authorized Official Contact | 8648822372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Hare And Martin Pa Po Box 815 208 N Walnut St Seneca SC 29679-0815 Ph: (864) 882-2372 | Drs Hare And Martin Pa 208 N Walnut St Seneca SC 29678 Ph: (864) 882-2372 |
| NPI Number | 1417058843 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417058843 | NPI | - | NPPES |
| Z13833 | Other | SC | MEDICAID |
| 88018195 | Other | AL | BLUECROSSBLUESHIELD |
| ZX3661 | Other | SC | MEDICAID |
| 55321 | Other | DENTAL BENEFIT PROVIDERS | |
| 88007179 | Other | AL | BLUECROSSBLUESHIELD |
| Z97805 | Other | MA | BLUECROSSBLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3661 (South Carolina) | Primary |
| 1223G0001X | Dentist - General Practice | 1383 (South Carolina) | Secondary |
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Ronald R. Moore, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11012 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-0880 Fax: 864-882-0881 | |
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Grace Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Commons Blvd, Seneca, SC 29678 Phone: 864-882-2424 Fax: 864-882-2476 | |
Dentistry At The Commons Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Professionals Cir, Seneca, SC 29678 Phone: 864-882-0134 | |
S K Rogers Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Professionals Cir, Seneca, SC 29678 Phone: 864-882-0134 Fax: 864-882-0135 | |
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