Organization
PALMETTO DENTAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BARNWELL DAVENPORT DMD (GENERAL PARTNER)
(803) 808-0888
Entity
Organization
Contact information
Practice address
216 PALMETTO PARK BLVD, LEXINGTON, SC 29072
(803) 808-0888
(803) 808-0891
Mailing address
216 PALMETTO PARK BLVD, LEXINGTON, SC 29072
(803) 808-0888
(803) 808-0891
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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