| Southern Dental Associates | |
|
174 Crepe Myrtle Drive Aiken SC 29803 | |
| (803) 641-3883 | |
| Not Available |
| Full Name | Southern Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 174 Crepe Myrtle Drive, Aiken, South Carolina |
| Authorized Official Name and Position | Kelli Gray (BUSINESS COORDINATOR) |
| Authorized Official Contact | 8036413883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Dental Associates 174 Crepe Myrtle Drive Aiken SC 29803 Ph: (803) 641-3883 | Southern Dental Associates 174 Crepe Myrtle Drive Aiken SC 29803 Ph: (803) 641-3883 |
| NPI Number | 1013435429 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 09/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013435429 | NPI | - | NPPES |
| 3587 | Other | SC | SOUTH CAROLINA BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3587 (South Carolina) | Primary |
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