| Honea Path Family Dentistry, Pa | |
|
322 N Shirley Ave Honea Path SC 29654-1636 | |
| (864) 369-2966 | |
| (864) 369-0666 |
| Full Name | Honea Path Family Dentistry, Pa |
|---|---|
| Speciality | Dentist |
| Location | 322 N Shirley Ave, Honea Path, South Carolina |
| Authorized Official Name and Position | Shannon B. Wilson (DENTIST) |
| Authorized Official Contact | 8643692966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Honea Path Family Dentistry, Pa 322 N Shirley Ave Honea Path SC 29654-1636 Ph: (864) 369-2966 | Honea Path Family Dentistry, Pa 322 N Shirley Ave Honea Path SC 29654-1636 Ph: (864) 369-2966 |
| NPI Number | 1659561439 |
|---|---|
| Provider Enumeration Date | 07/27/2007 |
| Last Update Date | 03/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659561439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3886 (South Carolina) | Primary |
Thomas M Dixon Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 E Greer St, Honea Path, SC 29654 Phone: 864-369-9000 Fax: 864-369-9800 |