Pickens Family Dentistry LLC

NPI #1093180283 in Pickens, South Carolina

Provider Information

NPI Number: 1093180283
Entity Type: Organization
Organization Name: Pickens Family Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Dec 14, 2015
Last Updated: Dec 14, 2015

Practice Location

Address: 829 PENDLETON ST
City: Pickens
State: South Carolina
ZIP Code: 29671-2578
Phone: (864) 878-3501

Authorized Official

Name: RYAN PATRICK MACRAE, DMD
Title: OWNER-PRESIDENT
Phone: (864) 878-3501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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