| Katie L Macken Dds Llc | |
|
1550 N Dobys Bridge Rd Ste 101 Fort Mill SC 29715-7626 | |
| (980) 999-0435 | |
| Not Available |
| Full Name | Katie L Macken Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1550 N Dobys Bridge Rd Ste 101, Fort Mill, South Carolina |
| Authorized Official Name and Position | Katie Lauren Macken (DENTIST/OWNER) |
| Authorized Official Contact | 9809990435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie L Macken Dds Llc 10806 Cove Point Dr Charlotte NC 28278-6944 Ph: (410) 303-6893 | Katie L Macken Dds Llc 1550 N Dobys Bridge Rd Ste 101 Fort Mill SC 29715-7626 Ph: (980) 999-0435 |
| NPI Number | 1619549540 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619549540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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