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Organization
PLAISTED DENTAL CARE LLC
Active
Organization
PLAISTED DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL PLAISTED DDS (OWNER)
(864) 268-5690
Entity
Organization
Contact information
Practice address
3220 WADE HAMPTON BLVD, TAYLORS, SC 29687-2860
(931) 247-8149
Mailing address
3220 WADE HAMPTON BLVD, TAYLORS, SC 29687-2860
(931) 247-8149
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780244251
DENTAL
SC
Enumeration date
05/17/2021
Last updated
05/17/2021
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