| Map - Bishopville, P.a. | |
| 101 Harris St Bishopville SC 29010-1601 | |
| (803) 484-6041 | |
| (803) 484-6041 | 
| Full Name | Map - Bishopville, P.a. | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 101 Harris St, Bishopville, South Carolina | 
| Authorized Official Name and Position | Mark A. Perry (OWNER) | 
| Authorized Official Contact | 8034846041 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Map - Bishopville, P.a. 101 Harris St Bishopville SC 29010-1601 Ph: (803) 484-6041 | Map - Bishopville, P.a. 101 Harris St Bishopville SC 29010-1601 Ph: (803) 484-6041 | 
| NPI Number | 1356639579 | 
|---|---|
| Provider Enumeration Date | 07/21/2011 | 
| Last Update Date | 07/21/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356639579 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | ZX4128 (South Carolina) | Primary | 
| Bishopville Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 734 W Church St, Bishopville, SC 29010 Phone: 201-994-6117 | |
| Caresouth Carolina, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Harris St, Bishopville, SC 29010 Phone: 803-588-7940 Fax: 803-588-7945 | |
| Forest L. Evans, D.d.s., P. A. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Harris St., Box 531, Bishopville, SC 29010 Phone: 803-484-6041 Fax: 803-484-6514 |