Palmetto Family and Cosmetic Dentistry IV
NPI #1124805254 in Sumter, South Carolina
Provider Information
- NPI Number
- 1124805254
- Entity Type
- Organization
- Organization Name
- Palmetto Family and Cosmetic Dentistry IV
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PALMETTO FAMILY AND COSMETIC DENTISTRY LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 12, 2023
- Last Updated
- Sep 28, 2023
Practice Location
- Address
- 1210 WILSON HALL RD
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-1889
- Phone
- (803) 877-6703
Authorized Official
- Name
- EVELYN HORNE
- Title
- CEO
- Phone
- (803) 877-6703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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