| 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 |