Carolina Professional Dentistry,llc
NPI #1649451410 in Fort Mill, South Carolina
Provider Information
- NPI Number
- 1649451410
- Entity Type
- Organization
- Organization Name
- Carolina Professional Dentistry,llc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 20, 2007
- Last Updated
- Nov 20, 2007
Practice Location
- Address
- 200 DOBYS BRIDGE RD
- Address 2
- SUITE 108
- City
- Fort Mill
- State
- South Carolina
- ZIP Code
- 29715-2083
- Phone
- (803) 396-5888
Authorized Official
- Name
- MARY JANE RESPASS
- Title
- CEO
- Phone
- (803) 396-5888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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