| Premier Aesthetic Dentistry | |
|
900 Lake Murray Blvd Irmo SC 29063-2923 | |
| (803) 781-7901 | |
| (803) 749-1376 |
| Full Name | Premier Aesthetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 900 Lake Murray Blvd, Irmo, South Carolina |
| Authorized Official Name and Position | Mark G. Pelletier (PRESIDENT/DENTIST) |
| Authorized Official Contact | 8037817901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Aesthetic Dentistry Po Box 1181 Irmo SC 29063-1181 Ph: (803) 781-7901 | Premier Aesthetic Dentistry 900 Lake Murray Blvd Irmo SC 29063-2923 Ph: (803) 781-7901 |
| NPI Number | 1174797526 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174797526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3232 (South Carolina) | Primary |
Children And Adult Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7210k Broad River Rd, Irmo, SC 29063 Phone: 803-407-2220 | |
Dutch Fork Family Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7436 Broad River Rd Ste 111, Irmo, SC 29063 Phone: 803-749-3333 Fax: 803-749-3335 | |
Maggie Livingston Phillips, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1028 Kinley Rd, Irmo, SC 29063 Phone: 803-781-0880 | |
A. Crosby Livingston, Jr., Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1028 Kinley Rd, Irmo, SC 29063 Phone: 803-781-0880 Fax: 803-781-3288 | |
Irmo Kids Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7570 Woodrow St, Irmo, SC 29063 Phone: 803-429-7058 | |
William A. Burn, Iii, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7897 Broad River Road, Irmo, SC 29063 Phone: 803-781-2439 Fax: 803-781-2601 |