Marshlands Family Dentistry,pa | |
1090 Ribaut Rd Beaufort SC 29902-5437 | |
(843) 521-4344 | |
(843) 521-1804 |
Full Name | Marshlands Family Dentistry,pa |
---|---|
Speciality | Dentist - General Practice |
Location | 1090 Ribaut Rd, Beaufort, South Carolina |
Authorized Official Name and Position | Virgie D Gurganious (OFFICE MGR) |
Authorized Official Contact | 8435214344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marshlands Family Dentistry,pa 1090 Ribaut Rd Beaufort SC 29902-5437 Ph: (843) 521-4344 | Marshlands Family Dentistry,pa 1090 Ribaut Rd Beaufort SC 29902-5437 Ph: (843) 521-4344 |
NPI Number | 1568654275 |
---|---|
Provider Enumeration Date | 08/16/2007 |
Last Update Date | 10/27/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568654275 | NPI | - | NPPES |
Z17777 | Medicaid | SC | |
1302242 | Other | UCCI | |
ZA9852 | Medicaid | SC | |
826791 | Other | UNITED CONCORDIA | |
829922 | Other | SC | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | Z1777 (South Carolina) | Primary |
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