PALMETTO FAMILY AND COSMETIC DENTISTRY IV NPI 1124805254

NPI Information

  • NPI: 1124805254
  • Provider Name: PALMETTO FAMILY AND COSMETIC DENTISTRY IV
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1210 WILSON HALL RD
    SUMTER, SC
    ZIP 29150
  • Phone: (803) 877-6703

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NPI Details

PALMETTO FAMILY AND COSMETIC DENTISTRY IV is a general practice dentist in Sumter, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PALMETTO FAMILY AND COSMETIC DENTISTRY IV NPI is 1124805254. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1210 WILSON HALL RD
SUMTER, SC
ZIP 29150-889
Phone: (803) 877-6703

The provider's authorized official is Evelyn Horne .
The authorized official title is Ceo and has the following contact phone number (803) 877-6703.

The enumeration date for this NPI number is 9/12/2023 and was last updated on 9/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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