| White Knoll Dentistry, Llc | |
|
5545 Platt Springs Rd Lexington SC 29073 | |
| (803) 359-3245 | |
| Not Available |
| Full Name | White Knoll Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5545 Platt Springs Rd, Lexington, South Carolina |
| Authorized Official Name and Position | Melissa Ray Backman (DENTIST) |
| Authorized Official Contact | 8033593245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Knoll Dentistry, Llc 341 Longwood Dr Lexington SC 29073-8537 Ph: (803) 359-3245 | White Knoll Dentistry, Llc 5545 Platt Springs Rd Lexington SC 29073 Ph: (803) 359-3245 |
| NPI Number | 1033341433 |
|---|---|
| Provider Enumeration Date | 08/18/2009 |
| Last Update Date | 08/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033341433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4290 (South Carolina) | Primary |
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