| Carolina Roots Dentistry Llc | |
|
9905 Calvin Hall Road 100 Indian Land SC 29707 | |
| (864) 631-6644 | |
| Not Available |
| Full Name | Carolina Roots Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9905 Calvin Hall Road, Indian Land, South Carolina |
| Authorized Official Name and Position | Gerry George (DENTIST) |
| Authorized Official Contact | 8646316644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Roots Dentistry Llc 2038 Country Manor Dr Mt Pleasant SC 29466-7410 Ph: () - | Carolina Roots Dentistry Llc 9905 Calvin Hall Road 100 Indian Land SC 29707 Ph: (864) 631-6644 |
| NPI Number | 1750958666 |
|---|---|
| Provider Enumeration Date | 06/09/2021 |
| Last Update Date | 06/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750958666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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