# PALMETTO MOBILE DENTAL CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588175087
- **Authorized official:** MARK NAPPER CEO (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 225-0945

## Contact information

- **Practice address:** 1703 LAUREL ST, COLUMBIA, SC 29201-2660
- **Practice address phone:** (615) 225-0945
- **Practice address fax:** (615) 225-8915
- **Mailing address:** PO BOX 332640, MURFREESBORO, TN 37133-2640
- **Mailing address phone:** (615) 225-0945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2017
- **Last updated:** 10/24/2017