| Thomas M. Hendley, D.m.d., P.a. | |
|
124 S Pearl St Pageland SC 29728-2254 | |
| (843) 672-2403 | |
| (843) 672-3299 |
| Full Name | Thomas M. Hendley, D.m.d., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 124 S Pearl St, Pageland, South Carolina |
| Authorized Official Name and Position | Thomas Monroe Hendley (PRESIDENT) |
| Authorized Official Contact | 8436722403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas M. Hendley, D.m.d., P.a. 124 S Pearl St Pageland SC 29728-2254 Ph: (843) 672-2403 | Thomas M. Hendley, D.m.d., P.a. 124 S Pearl St Pageland SC 29728-2254 Ph: (843) 672-2403 |
| NPI Number | 1992839708 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992839708 | NPI | - | NPPES |
| ZA9857 | Medicaid | SC | |
| 35043 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3504 (South Carolina) | Primary |
Andrew Scott Jackson, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 South Pearl St, Pageland, SC 29728 Phone: 843-672-2444 | |
Pageland Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 S Pearl St, Pageland, SC 29728 Phone: 843-672-2403 Fax: 843-672-3299 |