| Kim L. Capehart, D.d.s., P.a. | |
|
621 Se Main St Simpsonville SC 29681-3234 | |
| (864) 963-7237 | |
| (864) 967-2375 |
| Full Name | Kim L. Capehart, D.d.s., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 621 Se Main St, Simpsonville, South Carolina |
| Authorized Official Name and Position | Kim L Capehart (C.E.O./PRESIDENT) |
| Authorized Official Contact | 8649637237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim L. Capehart, D.d.s., P.a. Po Box 80035 Simpsonville SC 29680-0001 Ph: (864) 963-7237 | Kim L. Capehart, D.d.s., P.a. 621 Se Main St Simpsonville SC 29681-3234 Ph: (864) 963-7237 |
| NPI Number | 1184630527 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 11/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184630527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3842 (South Carolina) | Primary |
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