| Pickens Family Dentistry Llc | |
|
829 Pendleton St Pickens SC 29671-2578 | |
| (864) 878-3501 | |
| (864) 878-3502 |
| Full Name | Pickens Family Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 829 Pendleton St, Pickens, South Carolina |
| Authorized Official Name and Position | Ryan Patrick Macrae (OWNER-PRESIDENT) |
| Authorized Official Contact | 8648783501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pickens Family Dentistry Llc 829 Pendleton St Pickens SC 29671-2578 Ph: (864) 878-3501 | Pickens Family Dentistry Llc 829 Pendleton St Pickens SC 29671-2578 Ph: (864) 878-3501 |
| NPI Number | 1093180283 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093180283 | NPI | - | NPPES |
| 1407947534 | Other | SC | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4031 (South Carolina) | Primary |
Pickens Dental Associates, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Hampton Ave, Pickens, SC 29671 Phone: 864-878-7915 Fax: 864-878-7960 | |
Great Oaks Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Massingill Rd., Pickens, SC 29671 Phone: 864-878-2428 Fax: 864-878-3080 |