| Taylor Dentristry PC | |
|
1032c Kinley Rd Irmo SC 29063-9632 | |
| (803) 781-3232 | |
| Not Available |
| Full Name | Taylor Dentristry PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1032c Kinley Rd, Irmo, South Carolina |
| Authorized Official Name and Position | Ralph Edward Taylor (OWNER) |
| Authorized Official Contact | 8037813232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Dentristry PC 1032c Kinley Rd Irmo SC 29063-9632 Ph: (803) 781-3232 | Taylor Dentristry PC 1032c Kinley Rd Irmo SC 29063-9632 Ph: (803) 781-3232 |
| NPI Number | 1578613808 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578613808 | NPI | - | NPPES |
| Z33553 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | SC3355 (South Carolina) | Primary |
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