Boutwell Dental, LLC
NPI #1962281105 in Simpsonville, South Carolina
Provider Information
- NPI Number
- 1962281105
- Entity Type
- Organization
- Organization Name
- Boutwell Dental, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 26, 2023
- Last Updated
- Sep 26, 2023
Practice Location
- Address
- 309 HIGHWAY 14 STE C
- City
- Simpsonville
- State
- South Carolina
- ZIP Code
- 29681-6055
- Phone
- (864) 757-2370
Authorized Official
- Name
- DR. JOHN BOUTWELL, DDS
- Title
- DOCTOR, CO-OWNER
- Phone
- (864) 757-2370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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