| Ingleside Family Dental, Llc | |
| 9403 Highway 78 Suite 201 Ladson SC 29456 | |
| (845) 702-0581 | |
| Not Available | 
| Full Name | Ingleside Family Dental, Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 9403 Highway 78, Ladson, South Carolina | 
| Authorized Official Name and Position | Marilyn Betty Mathew (OWNER) | 
| Authorized Official Contact | 8457020581 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ingleside Family Dental, Llc 9403 Highway 78 Suite 201 Ladson SC 29456 Ph: (845) 702-0581 | Ingleside Family Dental, Llc 9403 Highway 78 Suite 201 Ladson SC 29456 Ph: (845) 702-0581 | 
| NPI Number | 1174159248 | 
|---|---|
| Provider Enumeration Date | 03/20/2020 | 
| Last Update Date | 03/20/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174159248 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
| Charleston Oral Medicine, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Ingleside Blvd Ste 101, Ladson, SC 29456 Phone: 843-762-9028 | |
| Heritage Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9598 Palmetto Commerce Parkway, Ladson, SC 29456 Phone: 860-573-5681 | |
| Crane Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78 Bldg 600b, Ladson, SC 29456 Phone: 843-412-4036 | |
| Dr. Patricia Nicklas Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78, Unit 600b, Ladson, SC 29456 Phone: 843-412-4036 |