| United Dental Group, Llc | |
|
4215 North Rd Orangeburg SC 29118-1128 | |
| (843) 324-8501 | |
| Not Available |
| Full Name | United Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4215 North Rd, Orangeburg, South Carolina |
| Authorized Official Name and Position | Leonard E Davis (DENTIST) |
| Authorized Official Contact | 8433248501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Dental Group, Llc Po Box 30818 Charleston SC 29417-0818 Ph: (843) 324-8501 | United Dental Group, Llc 4215 North Rd Orangeburg SC 29118-1128 Ph: (843) 324-8501 |
| NPI Number | 1285859348 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285859348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2226 (South Carolina) | Primary |
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