Bella Vista Family Dental at Five Forks
NPI #1073016937 in Simpsonville, South Carolina
Provider Information
- NPI Number
- 1073016937
- Entity Type
- Organization
- Organization Name
- Bella Vista Family Dental at Five Forks
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 16, 2018
- Last Updated
- Mar 16, 2018
Practice Location
- Address
- 2311 WOODRUFF RD
- City
- Simpsonville
- State
- South Carolina
- ZIP Code
- 29681-5442
- Phone
- (864) 501-9800
Authorized Official
- Name
- DR. JOHN KENNEDY JR., DMD
- Title
- OWNER
- Phone
- (864) 501-0070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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