| Harry J. Koutroulakis D.m.d. Family Dentistry, P.a. | |
|
1 Plaza Dr Lugoff SC 29078-9384 | |
| (803) 438-3540 | |
| Not Available |
| Full Name | Harry J. Koutroulakis D.m.d. Family Dentistry, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 1 Plaza Dr, Lugoff, South Carolina |
| Authorized Official Name and Position | Harry J Koutroulakis (PRESIDENT) |
| Authorized Official Contact | 8034383540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harry J. Koutroulakis D.m.d. Family Dentistry, P.a. 1 Plaza Dr Lugoff SC 29078-9384 Ph: (803) 438-3540 | Harry J. Koutroulakis D.m.d. Family Dentistry, P.a. 1 Plaza Dr Lugoff SC 29078-9384 Ph: (803) 438-3540 |
| NPI Number | 1396723326 |
|---|---|
| Provider Enumeration Date | 01/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396723326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2807 (South Carolina) | Primary |
Lugoff Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Plaza Dr, Lugoff, SC 29078 Phone: 803-438-3540 | |
Ronnetta J. P. Sartor, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Standard Warehouse Rd, Lugoff, SC 29078 Phone: 803-438-3449 |