| Palms Dentistry 225, Llc | |
|
208 Harrison Bridge Road Fountain Inn SC 29644 | |
| (864) 243-8371 | |
| (864) 243-8374 |
| Full Name | Palms Dentistry 225, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 208 Harrison Bridge Road, Fountain Inn, South Carolina |
| Authorized Official Name and Position | Brian Derrick (OWNER/DENTIST) |
| Authorized Official Contact | 8642438371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palms Dentistry 225, Llc 208 Harrison Bridge Road Fountain Inn SC 29644 Ph: (864) 243-8371 | Palms Dentistry 225, Llc 208 Harrison Bridge Road Fountain Inn SC 29644 Ph: (864) 243-8371 |
| NPI Number | 1669838991 |
|---|---|
| Provider Enumeration Date | 12/31/2015 |
| Last Update Date | 12/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669838991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3949 (South Carolina) | Primary |
Family Dental Health Of Fountain Inn Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 284 Mccarter Rd, Fountain Inn, SC 29644 Phone: 864-862-2966 | |
Fountain Inn Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 N Main St, Fountain Inn, SC 29644 Phone: 864-409-7733 |