| Southern Oaks Family Dentistry, Pa | |
|
3904 Highway 86 Easley SC 29642-9549 | |
| (864) 850-9100 | |
| (864) 850-0250 |
| Full Name | Southern Oaks Family Dentistry, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3904 Highway 86, Easley, South Carolina |
| Authorized Official Name and Position | David L Phelps (OWNER) |
| Authorized Official Contact | 8648509100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oaks Family Dentistry, Pa 3904 Highway 86 Easley SC 29642-9549 Ph: (864) 850-9100 | Southern Oaks Family Dentistry, Pa 3904 Highway 86 Easley SC 29642-9549 Ph: (864) 850-9100 |
| NPI Number | 1831356021 |
|---|---|
| Provider Enumeration Date | 05/16/2008 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831356021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3795 (South Carolina) | Primary |
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