| Mid-carolina Dental Care, Inc | |
|
316 N Wheeler Ave Prosperity SC 29127 | |
| (803) 364-2726 | |
| Not Available |
| Full Name | Mid-carolina Dental Care, Inc |
|---|---|
| Speciality | Dentist |
| Location | 316 N Wheeler Ave, Prosperity, South Carolina |
| Authorized Official Name and Position | John Campbell Lake (GENERAL DENTIST) |
| Authorized Official Contact | 8032762090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-carolina Dental Care, Inc 2706 Main St Newberry SC 29108-4004 Ph: (803) 276-2090 | Mid-carolina Dental Care, Inc 316 N Wheeler Ave Prosperity SC 29127 Ph: (803) 364-2726 |
| NPI Number | 1073050639 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073050639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4593 (South Carolina) | Primary |