| Boutwell Dental, Llc | |
|
309 Highway 14 Ste C Simpsonville SC 29681-6055 | |
| (864) 757-2370 | |
| Not Available |
| Full Name | Boutwell Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 309 Highway 14 Ste C, Simpsonville, South Carolina |
| Authorized Official Name and Position | John Boutwell (DOCTOR, CO-OWNER) |
| Authorized Official Contact | 8647572370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boutwell Dental, Llc 309 Highway 14 Ste C Simpsonville SC 29681-6055 Ph: () - | Boutwell Dental, Llc 309 Highway 14 Ste C Simpsonville SC 29681-6055 Ph: (864) 757-2370 |
| NPI Number | 1962281105 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962281105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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