| John C Bilder Dmd Pa | |
|
410 South Main Street Mullins SC 29574 | |
| (843) 464-2099 | |
| (843) 464-4432 |
| Full Name | John C Bilder Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 South Main Street, Mullins, South Carolina |
| Authorized Official Name and Position | John C Bilder (DMD) |
| Authorized Official Contact | 8434642099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C Bilder Dmd Pa 410 South Main Street Mullins SC 29574 Ph: (843) 464-2099 | John C Bilder Dmd Pa 410 South Main Street Mullins SC 29574 Ph: (843) 464-2099 |
| NPI Number | 1639209133 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639209133 | NPI | - | NPPES |
| 444915 | Medicaid | SC | |
| 8990714 | Medicaid | NC | |
| ZA9417 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | SC2391 (South Carolina) | Primary |
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