| Midlands Pediatric Dentistry Llc | |
|
253 Cedarcrest Dr Lexington SC 29072-3812 | |
| (803) 951-7337 | |
| Not Available |
| Full Name | Midlands Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 253 Cedarcrest Dr, Lexington, South Carolina |
| Authorized Official Name and Position | Robert Laforrest Shoun (DENTIST/OWNER) |
| Authorized Official Contact | 8033488976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midlands Pediatric Dentistry Llc 221 Springs Ct West Columbia SC 29170-2474 Ph: (803) 951-7337 | Midlands Pediatric Dentistry Llc 253 Cedarcrest Dr Lexington SC 29072-3812 Ph: (803) 951-7337 |
| NPI Number | 1841667037 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 08/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841667037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3801 (South Carolina) | Primary |
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