| Carolina Professional Dentistry,llc | |
|
200 Dobys Bridge Rd Suite 108 Fort Mill SC 29715-2083 | |
| (803) 396-5888 | |
| (803) 396-5893 |
| Full Name | Carolina Professional Dentistry,llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 Dobys Bridge Rd, Fort Mill, South Carolina |
| Authorized Official Name and Position | Mary Jane Respass (CEO) |
| Authorized Official Contact | 8033965888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Professional Dentistry,llc 200 Dobys Bridge Rd Suite 108 Fort Mill SC 29715-2083 Ph: (803) 396-5888 | Carolina Professional Dentistry,llc 200 Dobys Bridge Rd Suite 108 Fort Mill SC 29715-2083 Ph: (803) 396-5888 |
| NPI Number | 1649451410 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649451410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4401 (South Carolina) | Primary |
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Catawba River Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Dobys Bridge Rd Ste 108, Fort Mill, SC 29715 Phone: 803-396-5888 Fax: 803-396-5893 | |
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