| Palmetto Dental Studio Pelzer, Llc | |
|
112 Highway 20 S Pelzer SC 29669-1509 | |
| (864) 947-9886 | |
| (864) 947-4323 |
| Full Name | Palmetto Dental Studio Pelzer, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 112 Highway 20 S, Pelzer, South Carolina |
| Authorized Official Name and Position | Andy R Butcher (OWNER) |
| Authorized Official Contact | 8649479886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Dental Studio Pelzer, Llc Po Box 456 Pelzer SC 29669-0456 Ph: (864) 947-9886 | Palmetto Dental Studio Pelzer, Llc 112 Highway 20 S Pelzer SC 29669-1509 Ph: (864) 947-9886 |
| NPI Number | 1932509221 |
|---|---|
| Provider Enumeration Date | 08/25/2014 |
| Last Update Date | 08/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932509221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4203 (South Carolina) | Primary |