| Lucius F Wates Dmd Pa | |
|
509 Thurgood Marshall Hwy Kingstree SC 29556-4107 | |
| (843) 355-9295 | |
| (843) 355-9296 |
| Full Name | Lucius F Wates Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 509 Thurgood Marshall Hwy, Kingstree, South Carolina |
| Authorized Official Name and Position | Lucius Franklin Wates (PRES. OF CORPORATION) |
| Authorized Official Contact | 8433559295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucius F Wates Dmd Pa 509 Thurgood Marshall Hwy Kingstree SC 29556-4107 Ph: (843) 355-9295 | Lucius F Wates Dmd Pa 509 Thurgood Marshall Hwy Kingstree SC 29556-4107 Ph: (843) 355-9295 |
| NPI Number | 1427178185 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427178185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1904 (South Carolina) | Primary |
Kingstree Family Dentisry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Longstreet St, Kingstree, SC 29556 Phone: 843-355-5554 | |
Kingstree Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Thurgood Marshall Hwy, Kingstree, SC 29556 Phone: 843-356-2955 | |
Hopehealth Kingstree Dental Clinic Medicare: Medicare Enrolled Practice Location: 520 Thurgood Marshall Hwy, Suite B, Kingstree, SC 29556 Phone: 843-355-5628 Fax: 843-355-5616 |