| Hopehealth Dental Mills Street | |
|
409 S Mill St Manning SC 29102-2918 | |
| (843) 667-9414 | |
| Not Available |
| Full Name | Hopehealth Dental Mills Street |
|---|---|
| Speciality | Clinic/Center |
| Location | 409 S Mill St, Manning, South Carolina |
| Authorized Official Name and Position | Mark Vinson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8436560353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopehealth Dental Mills Street 360 N Irby St Florence SC 29501-2808 Ph: (843) 667-9414 | Hopehealth Dental Mills Street 409 S Mill St Manning SC 29102-2918 Ph: (843) 667-9414 |
| NPI Number | 1225608979 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 01/23/2023 |
| Medicare PECOS PAC ID | 4082510623 |
|---|---|
| Medicare Enrollment ID | O20220104003031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225608979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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