| Palmetto Health Dental Clinic | |
|
10 Richland Medical Park Dr Suite A Columbia SC 29203-6864 | |
| (803) 434-6567 | |
| (803) 434-6299 |
| Full Name | Palmetto Health Dental Clinic |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10 Richland Medical Park Dr, Columbia, South Carolina |
| Authorized Official Name and Position | Darrell C Coven (DIRECTOR, AMBULATORY SERVICES FINAN) |
| Authorized Official Contact | 8032967301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Health Dental Clinic Po Box 402145 Atlanta GA 30384-2145 Ph: (803) 296-7303 | Palmetto Health Dental Clinic 10 Richland Medical Park Dr Suite A Columbia SC 29203-6864 Ph: (803) 434-6567 |
| NPI Number | 1104370188 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 08/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104370188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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