| Dental Wellness Center Of Orangeburg, Llc | |
|
403 Stonewall Jackson Blvd Orangeburg SC 29115-7282 | |
| (888) 885-8492 | |
| (912) 226-3489 |
| Full Name | Dental Wellness Center Of Orangeburg, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 403 Stonewall Jackson Blvd, Orangeburg, South Carolina |
| Authorized Official Name and Position | Christie D Lawrence (CORPORATE OPERATIONS COORDINATOR) |
| Authorized Official Contact | 9129205577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Wellness Center Of Orangeburg, Llc Po Box 60339 Savannah GA 31420-0339 Ph: (912) 920-5577 | Dental Wellness Center Of Orangeburg, Llc 403 Stonewall Jackson Blvd Orangeburg SC 29115-7282 Ph: (888) 885-8492 |
| NPI Number | 1104384197 |
|---|---|
| Provider Enumeration Date | 03/08/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104384197 | NPI | - | NPPES |
| DN010747 | Other | GA | STATE LICENSE |
| 1497918759 | Other | GA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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