| Lakeside Family Dentistry | |
|
4371 Highway 24 Anderson SC 29626-5214 | |
| (864) 305-1402 | |
| Not Available |
| Full Name | Lakeside Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4371 Highway 24, Anderson, South Carolina |
| Authorized Official Name and Position | Brian Williams (OWNER) |
| Authorized Official Contact | 8644230245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Family Dentistry 4371 Highway 24 Anderson SC 29626-5214 Ph: (864) 305-1402 | Lakeside Family Dentistry 4371 Highway 24 Anderson SC 29626-5214 Ph: (864) 305-1402 |
| NPI Number | 1154175891 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154175891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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