| Rock Hill Pediatric Dentistry | |
|
2460 India Hook Rd Ste 106 Rock Hill SC 29732-3530 | |
| (704) 763-4931 | |
| Not Available |
| Full Name | Rock Hill Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2460 India Hook Rd Ste 106, Rock Hill, South Carolina |
| Authorized Official Name and Position | Jonathan Mark Mitchell (PRESIDENT/OWNER) |
| Authorized Official Contact | 7047634931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock Hill Pediatric Dentistry 2460 India Hook Rd Ste 106 Rock Hill SC 29732-3530 Ph: (704) 763-4931 | Rock Hill Pediatric Dentistry 2460 India Hook Rd Ste 106 Rock Hill SC 29732-3530 Ph: (704) 763-4931 |
| NPI Number | 1770918351 |
|---|---|
| Provider Enumeration Date | 09/13/2013 |
| Last Update Date | 09/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770918351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4509-798 (South Carolina) | Primary |
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