| Indigo Dentistry | |
|
121 Alpine Cir Columbia SC 29223-6385 | |
| (803) 348-7401 | |
| Not Available |
| Full Name | Indigo Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 121 Alpine Cir, Columbia, South Carolina |
| Authorized Official Name and Position | Jennifer Rains (MANAGER) |
| Authorized Official Contact | 8033487401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo Dentistry 862 Rutledge Ave Charleston SC 29403-3434 Ph: (803) 348-7401 | Indigo Dentistry 121 Alpine Cir Columbia SC 29223-6385 Ph: (803) 348-7401 |
| NPI Number | 1265067987 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265067987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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