Palmetto Family Dentistry Pa in Anderson - Dentist
Palmetto Family Dentistry Pa - NPI 1417969445
Palmetto Family Dentistry Pa is a Dentist in Anderson, South Carolina. Palmetto Family Dentistry Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Palmetto Family Dentistry Pa is 1417969445. The last update date is 2020-08-22.
Palmetto Family Dentistry Pa's current location address is 2713 North Main St, Anderson, South Carolina. You can contact this provider via phone number 8642268272 and fax number 8649649538. The mailing address for Palmetto Family Dentistry Pa is 2713 North Main St, Anderson, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Palmetto Family Dentistry Pa |
|---|---|
| Address | 2713 North Main St, Anderson, South Carolina |
| Phone Number | 8642268272 |
| Fax Number | 8649649538 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mitchell Christophe Jason |
| Credentials | DMD |
| Telephone Number | 8642268272 |
NPI Number Detail
| NPI Number | 1417969445 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2713 North Main St |
|---|---|
| City | Anderson |
| State | South Carolina (SC) |
| Post Code | 29621 |
| Phone Number | 8642268272 |
| Fax Number | 8649649538 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2142 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZA9700 | SC | -- |
Post Comment/ Review Below
What is the Palmetto Family Dentistry Pa's unique identification number?
The Palmetto Family Dentistry Pa has been assigned the NPI (National Provider Identifier) Number 1417969445 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Palmetto Family Dentistry Pa's facilities are situated?
The facilities of Palmetto Family Dentistry Pa are physically located at the following address: 2713 North Main St, Anderson, SC, 29621.
What is Palmetto Family Dentistry Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Palmetto Family Dentistry Pa's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Palmetto Family Dentistry Pa receive the assignment of its 1417969445 from the Centers for Medicare & Medicaid Services?
The Palmetto Family Dentistry Pa was issued its 1417969445 by the Centers for Medicare & Medicaid Services on 2006-08-11.
When was the information pertaining to Palmetto Family Dentistry Pa most recently updated or revised?
The details related to Palmetto Family Dentistry Pa, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.