| Dental Associates Of South Carolina, Inc | |
|
104 Buford Ave Anderson SC 29621-3314 | |
| (864) 224-1925 | |
| Not Available |
| Full Name | Dental Associates Of South Carolina, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 104 Buford Ave, Anderson, South Carolina |
| Authorized Official Name and Position | Kendon A Ross (CORPORATE OFFICER) |
| Authorized Official Contact | 8642241925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Associates Of South Carolina, Inc 104 Buford Ave Anderson SC 29621-3314 Ph: (864) 224-1925 | Dental Associates Of South Carolina, Inc 104 Buford Ave Anderson SC 29621-3314 Ph: (864) 224-1925 |
| NPI Number | 1912017997 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912017997 | NPI | - | NPPES |
| ZA9728 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3286 (South Carolina) | Primary |
| 1223G0001X | Dentist - General Practice | 3260 (South Carolina) | Secondary |
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