| Catawba River Dentistry, Llc | |
|
200 N Dobys Bridge Rd Ste 108 Fort Mill SC 29715-2084 | |
| (803) 396-5888 | |
| (803) 396-5893 |
| Full Name | Catawba River Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 N Dobys Bridge Rd Ste 108, Fort Mill, South Carolina |
| Authorized Official Name and Position | Stephanie R Montuori (OFFICE MANAGER) |
| Authorized Official Contact | 8033965888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catawba River Dentistry, Llc 200 N Dobys Bridge Rd Ste 108 Fort Mill SC 29715-2084 Ph: (803) 396-5888 | Catawba River Dentistry, Llc 200 N Dobys Bridge Rd Ste 108 Fort Mill SC 29715-2084 Ph: (803) 396-5888 |
| NPI Number | 1255113932 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255113932 | NPI | - | NPPES |
| 1770100505 | Other | GENERAL DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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