| Frank C. Sparacino Dds Mhs Pc | |
|
8800 Northpark Blvd North Charleston SC 29406-9226 | |
| (843) 553-5355 | |
| (843) 553-5205 |
| Full Name | Frank C. Sparacino Dds Mhs Pc |
|---|---|
| Speciality | Dentist |
| Location | 8800 Northpark Blvd, North Charleston, South Carolina |
| Authorized Official Name and Position | Frank Charles Sparacino (OWNER) |
| Authorized Official Contact | 8435535355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frank C. Sparacino Dds Mhs Pc 8800 Northpark Blvd North Charleston SC 29406-9226 Ph: (843) 553-5355 | Frank C. Sparacino Dds Mhs Pc 8800 Northpark Blvd North Charleston SC 29406-9226 Ph: (843) 553-5355 |
| NPI Number | 1750783338 |
|---|---|
| Provider Enumeration Date | 09/25/2014 |
| Last Update Date | 09/25/2014 |
| Medicare PECOS PAC ID | 8921365420 |
|---|---|
| Medicare Enrollment ID | O20171207001770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750783338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 1633623 (South Carolina) | Primary |
| Provider Name | Frank C Sparacino |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1235176603 PECOS PAC ID: 0547527046 Enrollment ID: I20171208002108 |
| Provider Name | Michael F Cuenin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1043277684 PECOS PAC ID: 8921231879 Enrollment ID: I20171218000261 |
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