| Kenley Loftis D.m.d Pa | |
|
1101 B Ave West Columbia SC 29169-6722 | |
| (803) 794-8741 | |
| (803) 794-2149 |
| Full Name | Kenley Loftis D.m.d Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1101 B Ave, West Columbia, South Carolina |
| Authorized Official Name and Position | Kenley Jackson Loftis (OWNER) |
| Authorized Official Contact | 8037948741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenley Loftis D.m.d Pa 1101 B Ave West Columbia SC 29169-6722 Ph: (803) 794-8741 | Kenley Loftis D.m.d Pa 1101 B Ave West Columbia SC 29169-6722 Ph: (803) 794-8741 |
| NPI Number | 1568591469 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 09/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568591469 | NPI | - | NPPES |
| Z3331 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3331 (South Carolina) | Primary |
Dr. George H. Fann, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Professional Ave, West Columbia, SC 29169 Phone: 803-796-0666 Fax: 803-796-8753 | |
3244 Sunset West Columbia Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3244 Sunset Blvd, West Columbia, SC 29169 Phone: 803-794-2273 Fax: 803-828-5982 | |
Alvin H Danenberg, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3244 Sunset Blvd, West Columbia, SC 29169 Phone: 803-796-7543 | |
Indigo Dentistry West Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Medical Cir, West Columbia, SC 29169 Phone: 803-796-9312 | |
Carolina Smiles Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3244 Sunset Blvd, West Columbia, SC 29169 Phone: 843-352-4454 Fax: 843-352-4875 | |
Southern Dental Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3244 Sunset Blvd, West Columbia, SC 29169 Phone: 803-796-1140 Fax: 803-796-1974 | |
Todays Dental At West Columbia Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Medical Cir, West Columbia, SC 29169 Phone: 803-233-6141 |