| 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 |