| Dr Matthew Allen Nettles, DMD | |
|
25 Ward Road, Lugoff, SC 29078 | |
| (803) 438-1047 | |
| (803) 438-4644 |
| Full Name | Dr Matthew Allen Nettles |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 25 Ward Road, Lugoff, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336589233 | NPI | - | NPPES |
| ZX8240 | Medicaid | SC | |
| Z16778 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DGD.8240 GD (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Allen Nettles, DMD 25 Ward Road, Lugoff, SC 29078 Ph: (803) 438-1047 | Dr Matthew Allen Nettles, DMD 25 Ward Road, Lugoff, SC 29078 Ph: (803) 438-1047 |
Thomas Cloud Anderson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 25 Ward Road, Lugoff, SC 29078 Phone: 803-438-1845 Fax: 803-438-6292 | |
Blake J Holt, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Standard Warehouse Rd, Lugoff, SC 29078 Phone: 803-622-9682 | |
Dr. Allyson Varn Monferdini, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 25 Ward Road, Lugoff, SC 29078 Phone: 803-438-1845 Fax: 803-438-6292 | |
Dr. Roderick David Smith, DMD Dentist Medicare: Medicare Enrolled Practice Location: 101 Standard Warehouse Rd, Lugoff, SC 29078 Phone: 803-438-3449 | |
Susan Floyd Gregory, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 25 Middleton Dr, Lugoff, SC 29078 Phone: 803-420-1254 | |
Harry J Koutroulakis, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Plaza Dr, Lugoff, SC 29078 Phone: 803-438-3540 |