Edisto Dental Associates Llc | |
2197 Saint Matthews Rd Orangeburg SC 29118-2038 | |
(803) 531-1601 | |
Not Available |
Full Name | Edisto Dental Associates Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 2197 Saint Matthews Rd, Orangeburg, South Carolina |
Authorized Official Name and Position | Clifton Jordan (OWNER/DENTIST) |
Authorized Official Contact | 8035311601 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Edisto Dental Associates Llc 2197 St. Matthew Road Orangeburg SC 29118 Ph: (803) 531-1601 | Edisto Dental Associates Llc 2197 Saint Matthews Rd Orangeburg SC 29118-2038 Ph: (803) 531-1601 |
NPI Number | 1871779413 |
---|---|
Provider Enumeration Date | 01/14/2008 |
Last Update Date | 01/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871779413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4010 (South Carolina) | Primary |
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