Organization
PROVIDENCE DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON PHILLIP MAKOWSKI (MEMBER)
(864) 675-6445
Entity
Organization
Contact information
Practice address
220 BRIDGES RD, SIMPSONVILLE, SC 29681-5700
(864) 675-6445
(864) 675-6447
Mailing address
220 BRIDGES RD, SIMPSONVILLE, SC 29681-5700
(864) 675-6445
(864) 675-6447
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
SC 3724
SC
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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