| Manning Dental Associates | |
|
24 Bozard St Manning SC 29102-2935 | |
| (803) 435-8845 | |
| (803) 435-2190 |
| Full Name | Manning Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24 Bozard St, Manning, South Carolina |
| Authorized Official Name and Position | Georgina Coffey (VICE PRESIDENT) |
| Authorized Official Contact | 8034358845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manning Dental Associates 24 Bozard St P.o. Box 1291 Manning SC 29102-2935 Ph: (803) 435-8845 | Manning Dental Associates 24 Bozard St Manning SC 29102-2935 Ph: (803) 435-8845 |
| NPI Number | 1073635090 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073635090 | NPI | - | NPPES |
| ZA9698 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | SC3938 (South Carolina) | Primary |
| 1223G0001X | Dentist - General Practice | SC1894 (South Carolina) | Secondary |
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Hopehealth Dental Mills Street Dental Clinic Medicare: Medicare Enrolled Practice Location: 409 S Mill St, Manning, SC 29102 Phone: 843-667-9414 | |
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