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NPI Code Detail

MEDICARE: COLUMBIA DENTAL CARE

MEDICARE: COLUMBIA DENTAL CARE
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 Dentistry

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 : 1326189770
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBIA DENTAL CARE
Provider Business Mailing Address
First Line : PO BOX 6723
Second Line :
City : COLUMBIA
State : SC
Zip : 29260-6723
Country : US
Telephone Number : 803-738-2424
Fax Number : 803-738-0277
Provider Business Practice Location Address
First Line : 4702 FOREST DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29206-3109
Country : US
Telephone Number : 803-738-2424
Fax Number : 803-738-0277
Authorized Official
Title or Position : OWNER
Name : DR. JOHN P KLEITCHES
Credential : D.M.D
Telephone Number : 803-738-2424
Provider Enumeration Date : 02/09/2007
Last Update Date : 06/22/2022

Similar Medicare Providers

1245200245 — DR. JOHN P KLEITCHES D.M.D.
Practice Location Address:
4702 FOREST DR
COLUMBIA, SC
29206-3109
Practice Phone: 803-738-2424
Practice Fax: 803-738-0277
1528291937 — ANGELA SWEARINGEN RPH
Practice Location Address:
4730 FOREST DR
COLUMBIA, SC
29206-3109
Practice Phone: 803-787-7362
Practice Fax:
1437479078 — CARLENE ELIZABETH CLAYTON PHARMD
Practice Location Address:
4730 FOREST DR
COLUMBIA, SC
29206-3109
Practice Phone: 803-787-7362
Practice Fax:
1730494311 — WING YI SHE PHARMD
Practice Location Address:
4730 FOREST DR
COLUMBIA, SC
29206-3109
Practice Phone: 803-787-7362
Practice Fax: 803-787-0194
1528581774 — BENJAMIN MCCANN PHARMD
Practice Location Address:
4730 FOREST DR
COLUMBIA, SC
29206-3109
Practice Phone: 803-787-7362
Practice Fax:
1841717360 — WALGREEN CO
Practice Location Address:
4730 FOREST DR
COLUMBIA, SC
29206-3109
Practice Phone: 803-787-7362
Practice Fax: 803-787-7362

Directions to “COLUMBIA DENTAL CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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