| Susan M Collins Dmd Pa | |
|
1251 Ebenezer Rd Rock Hill SC 29732-2353 | |
| (803) 324-3277 | |
| (803) 324-2264 |
| Full Name | Susan M Collins Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1251 Ebenezer Rd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Susan M Collins (OWNER) |
| Authorized Official Contact | 8033243277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M Collins Dmd Pa 1251 Ebenezer Rd Rock Hill SC 29732-2353 Ph: (803) 324-3277 | Susan M Collins Dmd Pa 1251 Ebenezer Rd Rock Hill SC 29732-2353 Ph: (803) 324-3277 |
| NPI Number | 1013184548 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013184548 | NPI | - | NPPES |
| Z-28541 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2854 (South Carolina) | Primary |
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