| Gilliam Family Dentistry | |
|
208 E Dunlap St Lancaster SC 29720-2511 | |
| (803) 286-5858 | |
| (803) 313-9650 |
| Full Name | Gilliam Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 208 E Dunlap St, Lancaster, South Carolina |
| Authorized Official Name and Position | Erica Frazier (OFFICE STAFF) |
| Authorized Official Contact | 8032865858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilliam Family Dentistry 208 E Dunlap St P.o. Box 1114 Lancaster SC 29720-2511 Ph: (803) 286-5858 | Gilliam Family Dentistry 208 E Dunlap St Lancaster SC 29720-2511 Ph: (803) 286-5858 |
| NPI Number | 1952588824 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 01/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952588824 | NPI | - | NPPES |
| ZA9811 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2718 (South Carolina) | Primary |
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