| Great Oaks Llc | |
|
108 Massingill Rd. Pickens SC 29671-2222 | |
| (864) 878-2428 | |
| (864) 878-3080 |
| Full Name | Great Oaks Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 108 Massingill Rd., Pickens, South Carolina |
| Authorized Official Name and Position | William Pennington (OWNER) |
| Authorized Official Contact | 8648782428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Oaks Llc 108 Massingill Rd Pickens SC 29671-2222 Ph: (864) 878-2428 | Great Oaks Llc 108 Massingill Rd. Pickens SC 29671-2222 Ph: (864) 878-2428 |
| NPI Number | 1659397149 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 09/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659397149 | NPI | - | NPPES |
| ZA9767 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2359 (South Carolina) | Primary |
Pickens Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Pendleton St, Pickens, SC 29671 Phone: 864-878-3501 Fax: 864-878-3502 | |
Pickens Dental Associates, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Hampton Ave, Pickens, SC 29671 Phone: 864-878-7915 Fax: 864-878-7960 |