| Lifetime Family Dentistry Llc | |
|
310 Owings St Laurens SC 29360-2738 | |
| (864) 984-6888 | |
| (864) 984-4474 |
| Full Name | Lifetime Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 Owings St, Laurens, South Carolina |
| Authorized Official Name and Position | Suzanne M Lowry (OFFICE MANAGER) |
| Authorized Official Contact | 8649846888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Family Dentistry Llc 310 Owings St Laurens SC 29360-2738 Ph: (864) 984-6888 | Lifetime Family Dentistry Llc 310 Owings St Laurens SC 29360-2738 Ph: (864) 984-6888 |
| NPI Number | 1457337495 |
|---|---|
| Provider Enumeration Date | 12/21/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457337495 | NPI | - | NPPES |
| ZA9540 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3380 (South Carolina) | Primary |
| 1223G0001X | Dentist - General Practice | 4036 (South Carolina) | Secondary |
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