Organization
WELVISTA
Active
Other names
Clarendon Smiles for a Lifetime
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGIA BENNETT FAMULINER (OPERATIONS DIRECTOR)
(803) 584-4803
Entity
Organization
Contact information
Practice address
16 WEINBERG ST, MANNING, SC 29102-2629
(803) 435-9555
(803) 435-9157
Mailing address
16 WEINBERG ST, MANNING, SC 29102-2629
(803) 435-9555
(803) 435-9157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9561
—
SC
Enumeration date
10/18/2006
Last updated
09/20/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us