| Ft Mill Dentistry Llc | |
|
133 Clebourne St Fort Mill SC 29715-1742 | |
| (803) 547-7508 | |
| (803) 547-1070 |
| Full Name | Ft Mill Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 133 Clebourne St, Fort Mill, South Carolina |
| Authorized Official Name and Position | Ashley Dean (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 8035477508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ft Mill Dentistry Llc Po Box 489 Fort Mill SC 29716-0489 Ph: (803) 547-7508 | Ft Mill Dentistry Llc 133 Clebourne St Fort Mill SC 29715-1742 Ph: (803) 547-7508 |
| NPI Number | 1295405819 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295405819 | NPI | - | NPPES |
| 4178 | Other | SC | SOUTH CAROLINA BOARD OF DENTISTRY |
| 4481 | Other | SC | SOUTH CAROLINA BOARD OF DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | 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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