| Joseph Ortho | |
|
116 Atrium Way Columbia SC 29223-6301 | |
| (803) 669-2600 | |
| (404) 410-1345 |
| Full Name | Joseph Ortho |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 116 Atrium Way, Columbia, South Carolina |
| Authorized Official Name and Position | Jennifer a Snow (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4044101340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Ortho 116 Atrium Way Columbia SC 29223-6301 Ph: (803) 669-2600 | Joseph Ortho 116 Atrium Way Columbia SC 29223-6301 Ph: (803) 669-2600 |
| NPI Number | 1871945493 |
|---|---|
| Provider Enumeration Date | 07/07/2016 |
| Last Update Date | 07/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871945493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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