| Kingstree Family Dentisry Llc | |
|
1200 N Longstreet St Kingstree SC 29556-2738 | |
| (843) 355-5554 | |
| Not Available |
| Full Name | Kingstree Family Dentisry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1200 N Longstreet St, Kingstree, South Carolina |
| Authorized Official Name and Position | Robert Tyler Williams (OWNER) |
| Authorized Official Contact | 8438191524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingstree Family Dentisry Llc 325 Folly Rd Ste 310 Charleston SC 29412-2507 Ph: (843) 737-4437 | Kingstree Family Dentisry Llc 1200 N Longstreet St Kingstree SC 29556-2738 Ph: (843) 355-5554 |
| NPI Number | 1104363233 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104363233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6968 (South Carolina) | Primary |
Kingstree Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Thurgood Marshall Hwy, Kingstree, SC 29556 Phone: 843-356-2955 | |
Lucius F Wates Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Thurgood Marshall Hwy, Kingstree, SC 29556 Phone: 843-355-9295 Fax: 843-355-9296 | |
Hopehealth, Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 520 Thurgood Marshall Hwy, Suite B, Kingstree, SC 29556 Phone: 843-355-5628 Fax: 843-355-5616 |