Fountain Inn Dental, LLC
NPI #1235653031 in Fountain Inn, South Carolina
Provider Information
- NPI Number
- 1235653031
- Entity Type
- Organization
- Organization Name
- Fountain Inn Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 2, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1125 N MAIN ST
- City
- Fountain Inn
- State
- South Carolina
- ZIP Code
- 29644-1322
- Phone
- (864) 409-7733
Authorized Official
- Name
- VIKAS R. JAIN, DMD
- Title
- OWNER
- Phone
- (706) 877-4110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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