Organization
PALMETTO DENTAL HEALTH ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ALLEN JASINSKI DMD (CO OWNER DENTIST)
(843) 523-5291
Entity
Organization
Contact information
Practice address
103 EAST TATUM AVENUE, MCCOLL, SC 29570-2323
(843) 523-5291
(843) 523-9714
Mailing address
103 EAST TATUM AVENUE, MCCOLL, SC 29570-2323
(843) 523-5291
(843) 523-9714
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3114
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9934
—
SC
Enumeration date
01/10/2006
Last updated
08/22/2020
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