| NPI | 1083677884 |
|---|---|
| Doing Business As | DENTAL IMPLANT CENTER OF SUMTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A MCGINNIS Owner 803-905-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 474) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 3273) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2011-01-14 |