| Mobile Dental Care Llc | |
|
1064 Gardner Rd Ste 101 Charleston SC 29407-5768 | |
| (843) 766-6194 | |
| Not Available |
| Full Name | Mobile Dental Care Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1064 Gardner Rd, Charleston, South Carolina |
| Authorized Official Name and Position | John E Reese (CO-OWNER) |
| Authorized Official Contact | 8437666194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Dental Care Llc 1064 Gardner Rd Ste 101 Charleston SC 29407-5768 Ph: (843) 766-6194 | Mobile Dental Care Llc 1064 Gardner Rd Ste 101 Charleston SC 29407-5768 Ph: (843) 766-6194 |
| NPI Number | 1003016437 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003016437 | NPI | - | NPPES |
| ZA9562 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | SC3654 (South Carolina) | Primary |
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