Organization
PALMETTO FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON CHRISTOPHER MITCHELL DMD (OWNER)
(864) 226-8272
Entity
Organization
Contact information
Practice address
2713 NORTH MAIN ST, ANDERSON, SC 29621
(864) 226-8272
(864) 964-9538
Mailing address
2713 NORTH MAIN ST, ANDERSON, SC 29621
(864) 226-8272
(864) 964-9538
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2142
SC
122300000X
Dentist
Primary
3611
SC
122300000X
Dentist
4211
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9700
—
SC
Enumeration date
08/11/2006
Last updated
08/22/2020
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