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NPI Code Detail

MEDICARE: DR. ORBITO IGNACIO PATANGAN JR. D.M.D.

MEDICARE:  DR. ORBITO IGNACIO PATANGAN JR. D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry19727MA
21223P0221XPediatric Dentistry12011756AIN
31223P0221XPediatric Dentistry19727MA
41223P0221XPediatric Dentistry948SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295714996
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ORBITO IGNACIO PATANGAN JR. D.M.D.
Provider Business Mailing Address
First Line : 903 SEABROOK CT
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-7462
Country : US
Telephone Number : 619-592-9247
Fax Number :
Provider Business Practice Location Address
First Line : 2700 BROAD RIVER RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29210-6055
Country : US
Telephone Number : 803-621-0902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 04/06/2020

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Directions to “ DR. ORBITO IGNACIO PATANGAN JR. D.M.D.” Practice Location

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