| Liberty Dental Care, Inc. | |
|
207 W Front St Liberty SC 29657-1009 | |
| (864) 843-3742 | |
| (864) 843-3744 |
| Full Name | Liberty Dental Care, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 207 W Front St, Liberty, South Carolina |
| Authorized Official Name and Position | James L Wilson (GENERAL DENTIST) |
| Authorized Official Contact | 8648433742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Dental Care, Inc. 207 W Front St Liberty SC 29657-1009 Ph: (864) 843-3742 | Liberty Dental Care, Inc. 207 W Front St Liberty SC 29657-1009 Ph: (864) 843-3742 |
| NPI Number | 1932376035 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932376035 | NPI | - | NPPES |
| Z31449 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3144 (South Carolina) | Primary |
Bright Smile Center - Liberty, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 W Front St, Liberty, SC 29657 Phone: 864-843-3742 Fax: 864-843-3744 | |
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