| Freeman Dentistry Of South Carolina Llc | |
|
1703 Laurel St Columbia SC 29201-2660 | |
| (502) 244-2420 | |
| (502) 996-8282 |
| Full Name | Freeman Dentistry Of South Carolina Llc |
|---|---|
| Speciality | Dentist |
| Location | 1703 Laurel St, Columbia, South Carolina |
| Authorized Official Name and Position | Rourk B Freeman (OWNER) |
| Authorized Official Contact | 8648844374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freeman Dentistry Of South Carolina Llc 12910 Shelbyville Rd Ste 300 Louisville KY 40243-2404 Ph: (502) 244-2420 | Freeman Dentistry Of South Carolina Llc 1703 Laurel St Columbia SC 29201-2660 Ph: (502) 244-2420 |
| NPI Number | 1093390007 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093390007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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