| South Aiken Dental Care | |
|
1055 Pine Log Rd Aiken SC 29803-7396 | |
| (803) 761-7924 | |
| Not Available |
| Full Name | South Aiken Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1055 Pine Log Rd, Aiken, South Carolina |
| Authorized Official Name and Position | Jean Cornell (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Aiken Dental Care 1055 Pine Log Rd Aiken SC 29803-7396 Ph: () - | South Aiken Dental Care 1055 Pine Log Rd Aiken SC 29803-7396 Ph: (803) 761-7924 |
| NPI Number | 1548685191 |
|---|---|
| Provider Enumeration Date | 02/19/2014 |
| Last Update Date | 02/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548685191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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