Southern Dental Associates | |
174 Crepe Myrtle Drive Aiken SC 29803 | |
(803) 641-3883 | |
Not Available |
Full Name | Southern Dental Associates |
---|---|
Speciality | Clinic/center - Dental |
Location | 174 Crepe Myrtle Drive, Aiken, South Carolina |
Authorized Official Name and Position | Kelli Gray (BUSINESS COORDINATOR) |
Authorized Official Contact | 8036413883 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Dental Associates 174 Crepe Myrtle Drive Aiken SC 29803 Ph: (803) 641-3883 | Southern Dental Associates 174 Crepe Myrtle Drive Aiken SC 29803 Ph: (803) 641-3883 |
NPI Number | 1013435429 |
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Provider Enumeration Date | 09/06/2017 |
Last Update Date | 09/06/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013435429 | NPI | - | NPPES |
3587 | Other | SC | SOUTH CAROLINA BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 3587 (South Carolina) | Primary |
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