Matthew Richard Carlisle is a Indian Land, South Carolina based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Matthew Richard Carlisle is 8492 for Dentistry in South Carolina. His current practice location is 1028 Edgewater Corporate Pkwy, Indian Land. Patients can reach him at 803-389-0197.
Matthew Richard Carlisle is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Matthew Richard Carlisle speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Matthew Richard Carlisle
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
1028 Edgewater Corporate Pkwy, Indian Land, South Carolina, 29707
Phone:
803-389-0197
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1639586456
NPI Enumeration Date:
14 Jul, 2014
NPI Last Update On:
19 Nov, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Richard Carlisle are as mentioned below.
License Number
Specialization
State
Status
8492
Dentistry
South Carolina
Primary
#9830
Dentistry
North Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Matthew Richard Carlisle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
ZX8492
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1028 Edgewater Corporate Pkwy, Indian Land, South Carolina
Zip:
29707
Phone Number:
803-389-0197
Patients can reach Matthew Richard Carlisle at 1028 Edgewater Corporate Pkwy, Indian Land, South Carolina or can call to book an appointment on 803-389-0197. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.