| Palmetto Advanced Dentistry | |
|
2021 Bridgemill Dr Ste 100 Indian Land SC 29707-9211 | |
| (803) 848-7100 | |
| Not Available |
| Full Name | Palmetto Advanced Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2021 Bridgemill Dr Ste 100, Indian Land, South Carolina |
| Authorized Official Name and Position | Albert Primavera (OWNER) |
| Authorized Official Contact | 2392733981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Advanced Dentistry 1061 Ansley Park Dr Indian Land SC 29707-7885 Ph: () - | Palmetto Advanced Dentistry 2021 Bridgemill Dr Ste 100 Indian Land SC 29707-9211 Ph: (803) 848-7100 |
| NPI Number | 1851916332 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 06/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851916332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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