| Cda Dental Pa | |
|
301 Spartanburg Rd Lyman SC 29365-1746 | |
| (864) 439-1240 | |
| (864) 439-1241 |
| Full Name | Cda Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 Spartanburg Rd, Lyman, South Carolina |
| Authorized Official Name and Position | Christopher Derek Ayers (PRESIDENT) |
| Authorized Official Contact | 8434063678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cda Dental Pa 301 Spartanburg Rd Lyman SC 29365-1746 Ph: (864) 439-1240 | Cda Dental Pa 301 Spartanburg Rd Lyman SC 29365-1746 Ph: (864) 439-1240 |
| NPI Number | 1043630437 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 04/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043630437 | NPI | - | NPPES |
| ZX6942 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6942 (South Carolina) | Primary |
Tyger River Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Spartanburg Hwy., Lyman, SC 29365 Phone: 864-439-4449 Fax: 864-439-5559 | |
Kirk E Houston Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12313 Greenville Highway, Lyman, SC 29365 Phone: 864-439-3322 Fax: 864-949-3953 | |
Tyger River Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 S Spartanburg Hwy, Lyman, SC 29365 Phone: 864-439-0023 Fax: 864-439-9112 | |
Lyman Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Spartanburg Rd, Lyman, SC 29365 Phone: 864-439-1240 Fax: 864-439-1241 | |
Lyman Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Old Spartanburg Rd., Lyman, SC 29365 Phone: 864-439-1240 Fax: 864-439-1241 | |
Kirk E Houston Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12313 Greenville Hwy, Lyman, SC 29365 Phone: 864-439-3322 Fax: 864-949-3953 |