| Sweet Tooth Smiles P A | |
|
3020 Sunset Blvd Ste 106 West Columbia SC 29169-3494 | |
| (803) 233-1980 | |
| (803) 602-6397 |
| Full Name | Sweet Tooth Smiles P A |
|---|---|
| Speciality | Dentist |
| Location | 3020 Sunset Blvd Ste 106, West Columbia, South Carolina |
| Authorized Official Name and Position | Erica Marguerite Johannes (PRESIDENT) |
| Authorized Official Contact | 9202549865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweet Tooth Smiles P A 112 Mallard Lakes Ct Lexington SC 29072-9300 Ph: (920) 254-9865 | Sweet Tooth Smiles P A 3020 Sunset Blvd Ste 106 West Columbia SC 29169-3494 Ph: (803) 233-1980 |
| NPI Number | 1982105904 |
|---|---|
| Provider Enumeration Date | 02/25/2018 |
| Last Update Date | 07/22/2021 |
| Medicare PECOS PAC ID | 1850641952 |
|---|---|
| Medicare Enrollment ID | O20180911003423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982105904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4571 (South Carolina) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Dr. George H. Fann, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Professional Ave, West Columbia, SC 29169 Phone: 803-796-0666 Fax: 803-796-8753 | |
3244 Sunset West Columbia Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3244 Sunset Blvd, West Columbia, SC 29169 Phone: 803-794-2273 Fax: 803-828-5982 | |
Alvin H Danenberg, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3244 Sunset Blvd, West Columbia, SC 29169 Phone: 803-796-7543 | |
Indigo Dentistry West Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Medical Cir, West Columbia, SC 29169 Phone: 803-796-9312 | |
Family Dental Health Of Saint Andrews Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2844 Sunset Blvd, West Columbia, SC 29169 Phone: 803-772-1548 Fax: 864-751-6387 | |
Carolina Smiles Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3244 Sunset Blvd, West Columbia, SC 29169 Phone: 843-352-4454 Fax: 843-352-4875 | |
Southern Dental Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3244 Sunset Blvd, West Columbia, SC 29169 Phone: 803-796-1140 Fax: 803-796-1974 |