| Lugoff Family Dentistry, Llc | |
|
1 Plaza Dr Lugoff SC 29078-9384 | |
| (803) 438-3540 | |
| Not Available |
| Full Name | Lugoff Family Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Plaza Dr, Lugoff, South Carolina |
| Authorized Official Name and Position | John F Rickard (COMPTROLLER) |
| Authorized Official Contact | 8432709534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lugoff Family Dentistry, Llc 1 Plaza Dr Lugoff SC 29078-9384 Ph: (803) 438-3540 | Lugoff Family Dentistry, Llc 1 Plaza Dr Lugoff SC 29078-9384 Ph: (803) 438-3540 |
| NPI Number | 1295321198 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295321198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Harry J. Koutroulakis D.m.d. Family Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Plaza Dr, Lugoff, SC 29078 Phone: 803-438-3540 | |
Ronnetta J. P. Sartor, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Standard Warehouse Rd, Lugoff, SC 29078 Phone: 803-438-3449 |