| Palmetto Dental Health Associates Pa | |
|
103 East Tatum Avenue Mccoll SC 29570-2323 | |
| (843) 523-5291 | |
| (843) 523-9714 |
| Full Name | Palmetto Dental Health Associates Pa |
|---|---|
| Speciality | Dentist |
| Location | 103 East Tatum Avenue, Mccoll, South Carolina |
| Authorized Official Name and Position | Kevin Allen Jasinski (CO OWNER DENTIST) |
| Authorized Official Contact | 8435235291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Dental Health Associates Pa 103 East Tatum Avenue Mccoll SC 29570-2323 Ph: (843) 523-5291 | Palmetto Dental Health Associates Pa 103 East Tatum Avenue Mccoll SC 29570-2323 Ph: (843) 523-5291 |
| NPI Number | 1821077751 |
|---|---|
| Provider Enumeration Date | 01/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821077751 | NPI | - | NPPES |
| ZA9934 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3114 (South Carolina) | Primary |