| Sfd Carnes Llc | |
|
110 Parish Farms Dr Summerville SC 29486-0409 | |
| (843) 300-1635 | |
| (843) 300-1639 |
| Full Name | Sfd Carnes Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 Parish Farms Dr, Summerville, South Carolina |
| Authorized Official Name and Position | Angela M Bazzle (OPERATIONS MANAGER) |
| Authorized Official Contact | 8438710842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sfd Carnes Llc 1971 N Main St Summerville SC 29486-7820 Ph: (843) 871-0842 | Sfd Carnes Llc 110 Parish Farms Dr Summerville SC 29486-0409 Ph: (843) 300-1635 |
| NPI Number | 1144762576 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144762576 | NPI | - | NPPES |
| Z33526 | Medicaid | SC | |
| ZX8091 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8091 (South Carolina) | Primary |
| 1223G0001X | Dentist - General Practice | 3352 (South Carolina) | Secondary |
Sfd Kids Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Parish Farms Drive, Summerville, SC 29486 Phone: 843-871-0842 | |
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A. Frederick Solomon Dmd P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1971 N Main St, Summerville, SC 29483 Phone: 843-871-0842 Fax: 843-832-4531 | |
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