Organization
PALMETTO FAMILY AND COSMETIC DENTISTRY LLC
Active
Parent organization
PALMETTO FAMILY AND COSMETIC DENTISTRY LLC
Other names
Palmetto Family and Cosmetic Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO FAMILY AND COSMETIC DENTISTRY LLC
Authorized official
DR. THADDEUS H VINCENT JR. D.M.D. (DENTIST/OWNER)
(803) 773-5411
Entity
Organization
Contact information
Practice address
434 N GUIGNARD DRIVE, SUMTER, SC 29150-4748
(803) 773-5411
(803) 773-8231
Mailing address
2590 TAHOE DR, SUMTER, SC 29150-1860
(803) 773-5411
(803) 773-8231
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4327
SC
Other
Enumeration date
04/23/2015
Last updated
08/09/2021
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