Delena Jane Pate, RDH

Individual provider Active NPI Dental Hygienist · MC Bee, SC

NPI 1649469867 · NPPES record last updated Oct 24, 2007

Key facts

NPI
1649469867
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
3498 (SC)
Practice address
645 S Seventh St
MC Bee, SC 29101-7101
Phone
(843) 680-0813
Fax
(843) 335-6309
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3498SCMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 3498 SC Yes

Addresses

Primary practice location

645 S Seventh St
MC Bee, SC 29101-7101

Mailing address

645 S Seventh St
MC Bee, SC 29101-7101
Phone (843) 680-0813

Other providers in MC Bee, SC

All providers in MC Bee, SC · Dental Hygienist in South Carolina

Sources for this page

Verify at the official NPI Registry.