Lake Wylie Family Dentistry Pa in Lake Wylie - Dentist

Lake Wylie Family Dentistry Pa - NPI 1437370798

Lake Wylie Family Dentistry Pa is a Dentist in Lake Wylie, South Carolina. Lake Wylie Family Dentistry Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lake Wylie Family Dentistry Pa is 1437370798. The last update date is 2008-02-04.

Lake Wylie Family Dentistry Pa's current location address is Po Box 5248, Lake Wylie, South Carolina. You can contact this provider via phone number 8038318856 and fax number 8038318966. The mailing address for Lake Wylie Family Dentistry Pa is Po Box 5248, Lake Wylie, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lake Wylie Family Dentistry Pa
Address Po Box 5248, Lake Wylie, South Carolina
Phone Number 8038318856
Fax Number 8038318966
Sole Proprietor --
Credentials --

Authorized Official

Title or Position INSURANCE
Authorized Official Name Stall M Susan
Telephone Number 8038318856

NPI Number Detail

NPI Number 1437370798
Provider Enumeration Date 2007-05-02
Last Updated Date 2008-02-04

Provider Mailing Address Detail

Address Po Box 5248
City Lake Wylie
State South Carolina (SC)
Post Code 29710
Phone Number 8038318856
Fax Number 8038318966

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 3673
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Lake Wylie Family Dentistry Pa

What is the unique identifier code issued to Lake Wylie Family Dentistry Pa by the Centers for Medicare & Medicaid Services (CMS)?

The Lake Wylie Family Dentistry Pa has been assigned the NPI (National Provider Identifier) 1437370798. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Lake Wylie Family Dentistry Pa is physically located?

The Lake Wylie Family Dentistry Pa is situated at the following address: Po Box 5248, Lake Wylie, SC 29710.

What is Lake Wylie Family Dentistry Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lake Wylie Family Dentistry Pa's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1437370798 to Lake Wylie Family Dentistry Pa?

The Centers for Medicare & Medicaid Services originally issued the 1437370798 to Lake Wylie Family Dentistry Pa on 2007-05-02.

When was the Lake Wylie Family Dentistry Pa's information last updated?

The Lake Wylie Family Dentistry Pa's information was last updated on 2008-02-04.

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