| Eh Dental, Llc | |
| 303 E Highland Ave Ste 105 Anderson SC 29621-4767 | |
| (864) 226-5058 | |
| Not Available | 
| Full Name | Eh Dental, Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 303 E Highland Ave Ste 105, Anderson, South Carolina | 
| Authorized Official Name and Position | Charles Preston Payne (OWNER) | 
| Authorized Official Contact | 8642265058 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Eh Dental, Llc 303 E Highland Ave Ste 105 Anderson SC 29621-4767 Ph: (864) 226-5058 | Eh Dental, Llc 303 E Highland Ave Ste 105 Anderson SC 29621-4767 Ph: (864) 226-5058 | 
| NPI Number | 1619455417 | 
|---|---|
| Provider Enumeration Date | 08/02/2018 | 
| Last Update Date | 08/02/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619455417 | NPI | - | NPPES | 
| 1851834964 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9142 (South Carolina) | Primary | 
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