Lake Wylie Family Dentistry PA

NPI #1437370798 in Lake Wylie, South Carolina

Provider Information

NPI Number: 1437370798
Entity Type: Organization
Organization Name: Lake Wylie Family Dentistry PA
Primary Specialty: Dentist
Enumeration Date: May 2, 2007
Last Updated: Feb 4, 2008

Practice Location

Address: 1100 VILLAGE HARBOR DR
City: Lake Wylie
State: South Carolina
ZIP Code: 29710
Phone: (803) 831-8856

Authorized Official

Name: MRS. SUSAN M STALL
Title: INSURANCE DEPT
Phone: (803) 831-8856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Stacy L Blackmon, DDS	Dentist	Lake Wylie	AI Deep Dive
DR. Thomas N Stall SR., DMD	Dentist	Lake Wylie	AI Deep Dive
DR. Christopher Andrew Snell, D.D.S.	Dentist	Lake Wylie	AI Deep Dive
DR. Jeffrey J Martello, D.D.S.	Dentist	Bluffton	AI Deep Dive

Organizations

Provider Name	Specialty	City
Lake Wylie Modern Dentistry, PC	Dentist	Lake Wylie	AI Deep Dive

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