Fleetwood Dental
NPI #1073647889 in Easley, South Carolina
Provider Information
- NPI Number
- 1073647889
- Entity Type
- Organization
- Organization Name
- Fleetwood Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 105 FLEETWOOD DR
- City
- Easley
- State
- South Carolina
- ZIP Code
- 29640-2019
- Phone
- (864) 855-2788
Authorized Official
- Name
- DR. WILLIS ELY HAWKINS III, DMD
- Title
- OWNER
- Phone
- (864) 855-2788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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