| Laura G Walls Family Dentistry | |
|
533 W Church St Batesburg SC 29006-1706 | |
| (803) 532-3331 | |
| (803) 532-3310 |
| Full Name | Laura G Walls Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 533 W Church St, Batesburg, South Carolina |
| Authorized Official Name and Position | Laura G Walls (DENTIST OWNER) |
| Authorized Official Contact | 8035323331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura G Walls Family Dentistry 533 W Church St Batesburg SC 29006-1706 Ph: (803) 532-3331 | Laura G Walls Family Dentistry 533 W Church St Batesburg SC 29006-1706 Ph: (803) 532-3331 |
| NPI Number | 1114140514 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 04/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114140514 | NPI | - | NPPES |
| 1972513349 | Other | SC | INDIVIDUAL NPI NUMBER |
| Z35908 | Medicaid | SC | |
| ZA9578 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | SC3590 (South Carolina) | Primary |