| Kelly W. Ford, D.m.d, Mh. Spa | |
|
321 N Laurel St Summerville SC 29483 | |
| (843) 871-6636 | |
| Not Available |
| Full Name | Kelly W. Ford, D.m.d, Mh. Spa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 321 N Laurel St, Summerville, South Carolina |
| Authorized Official Name and Position | Kelly W Ford (OWNER) |
| Authorized Official Contact | 8438716636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly W. Ford, D.m.d, Mh. Spa 321 N Laurel St Summerville SC 29483 Ph: () - | Kelly W. Ford, D.m.d, Mh. Spa 321 N Laurel St Summerville SC 29483 Ph: (843) 871-6636 |
| NPI Number | 1801895115 |
|---|---|
| Provider Enumeration Date | 07/19/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801895115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 3045 (South Carolina) | Secondary |
| 1223P0300X | Dentist - Periodontics | 1790 (South Carolina) | Primary |
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