| Foothills Family Dentistry | |
|
3480 Chesnee Highway Chesnee SC 29368 | |
| (864) 578-9040 | |
| (864) 578-0539 |
| Full Name | Foothills Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3480 Chesnee Highway, Chesnee, South Carolina |
| Authorized Official Name and Position | David H Bryant (DENTIST/OWNER) |
| Authorized Official Contact | 8645789040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Family Dentistry Po Box 860 Mayo SC 29368-0860 Ph: (864) 578-9040 | Foothills Family Dentistry 3480 Chesnee Highway Chesnee SC 29368 Ph: (864) 578-9040 |
| NPI Number | 1679760870 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 10/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679760870 | NPI | - | NPPES |
| 5903567 | Medicaid | NC | |
| 5906513 | Medicaid | ND | |
| ZA9657 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Michael E Henderson D.m.d. P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 W Cherokee St, Chesnee, SC 29323 Phone: 864-461-3113 |