| Mid Carolina Dental Center Pllc | |
|
1012 N Woodland Dr Lancaster SC 29720-1966 | |
| (803) 285-7645 | |
| (803) 285-7687 |
| Full Name | Mid Carolina Dental Center Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1012 N Woodland Dr, Lancaster, South Carolina |
| Authorized Official Name and Position | Mindy Renee Goins (PRESIDENT DENTIST) |
| Authorized Official Contact | 8032857645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Carolina Dental Center Pllc 1012 N Woodland Dr Lancaster SC 29720-1966 Ph: (803) 285-7645 | Mid Carolina Dental Center Pllc 1012 N Woodland Dr Lancaster SC 29720-1966 Ph: (803) 285-7645 |
| NPI Number | 1275742165 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275742165 | NPI | - | NPPES |
| 92948 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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