Ft Mill Dentistry LLC
NPI #1295405819 in Fort Mill, South Carolina
Provider Information
- NPI Number
- 1295405819
- Entity Type
- Organization
- Organization Name
- Ft Mill Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 15, 2021
- Last Updated
- Sep 15, 2021
Practice Location
- Address
- 133 CLEBOURNE ST
- City
- Fort Mill
- State
- South Carolina
- ZIP Code
- 29715-1742
- Phone
- (803) 547-7508
Authorized Official
- Name
- ASHLEY DEAN
- Title
- OFFICE ADMINISTRATOR
- Phone
- (803) 547-7508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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