| Mcclellanville Dental Llc | |
|
832 Pinckney St Mc Clellanville SC 29458-9762 | |
| (843) 887-3763 | |
| Not Available |
| Full Name | Mcclellanville Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 832 Pinckney St, Mc Clellanville, South Carolina |
| Authorized Official Name and Position | Laura Varadi (DENTIST/OWNER) |
| Authorized Official Contact | 8433455870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcclellanville Dental Llc Po Box 220 Mc Clellanville SC 29458-0220 Ph: (843) 887-3763 | Mcclellanville Dental Llc 832 Pinckney St Mc Clellanville SC 29458-9762 Ph: (843) 887-3763 |
| NPI Number | 1194365502 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 01/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194365502 | NPI | - | NPPES |
| ZA9472 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |