| Pediatric Dentistry Of Greenwood, P.a. | |
|
1202b Hwy 72 W Greenwood SC 29649-1816 | |
| (864) 229-0305 | |
| Not Available |
| Full Name | Pediatric Dentistry Of Greenwood, P.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1202b Hwy 72 W, Greenwood, South Carolina |
| Authorized Official Name and Position | Jennifer Balkcum Turner (DENTIST) |
| Authorized Official Contact | 8642290305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Greenwood, P.a. 1202b Hwy 72 W Greenwood SC 29649-1816 Ph: (864) 229-0305 | Pediatric Dentistry Of Greenwood, P.a. 1202b Hwy 72 W Greenwood SC 29649-1816 Ph: (864) 229-0305 |
| NPI Number | 1215188388 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215188388 | NPI | - | NPPES |
| ZX4050 | Medicaid | SC | |
| ZX4112 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | SC4112 (South Carolina) | Primary |
Buffalo Liptz Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 Montague Avenue Ext Unit 1, Greenwood, SC 29649 Phone: 864-223-1152 | |
Christopher G. Collins D.m.d. L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Grace St, Greenwood, SC 29649 Phone: 864-229-4813 Fax: 864-943-4358 | |
Wm. Robert Miller, D.m.d., Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Durst Ave, Greenwood, SC 29649 Phone: 864-229-6639 Fax: 864-941-3318 | |
Moss & Associates General Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 Montague Avenue Extension, Unit 1, Greenwood, SC 29649 Phone: 864-223-1152 Fax: 864-223-4276 | |
Jim Nasim Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 West Durst Avenue, Greenwood, SC 29649 Phone: 864-576-7169 | |
Steve M. Ackerman And William Gray Ackerman, Ptr Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 Calhoun Ave, Greenwood, SC 29649 Phone: 864-229-7979 Fax: 864-943-1189 |