| White Knoll Comprehensive Dentistry | |
|
1825 S Lake Dr Lexington SC 29073-7759 | |
| (803) 785-9991 | |
| (803) 785-6921 |
| Full Name | White Knoll Comprehensive Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1825 S Lake Dr, Lexington, South Carolina |
| Authorized Official Name and Position | Pamela Suzanne Cockrell (INSURANCE COORDINATOR) |
| Authorized Official Contact | 8037859991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Knoll Comprehensive Dentistry 1825 S Lake Dr Lexington SC 29073-7759 Ph: (803) 785-9991 | White Knoll Comprehensive Dentistry 1825 S Lake Dr Lexington SC 29073-7759 Ph: (803) 785-9991 |
| NPI Number | 1811361579 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811361579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2790 (South Carolina) | Primary |
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