Clover Family Dentistry, Llc in Clover - General Practice

Clover Family Dentistry, Llc - NPI 1346461563

Clover Family Dentistry, Llc is a General Practice in Clover, South Carolina. Clover Family Dentistry, Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Clover Family Dentistry, Llc is 1346461563. The last update date is 2020-08-22.

Clover Family Dentistry, Llc's current location address is 203 Church St, Clover, South Carolina. You can contact this provider via phone number 8032224518 and fax number 8032224598. The mailing address for Clover Family Dentistry, Llc is 203 Church St, Clover, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Clover Family Dentistry, Llc
Address 203 Church St, Clover, South Carolina
Phone Number 8032224518
Fax Number 8032224598
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEMBER
Authorized Official Name Myrick L Ernest
Credentials D.M.D.
Telephone Number 8032224518

NPI Number Detail

NPI Number 1346461563
Provider Enumeration Date 2007-05-02
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 203 Church St
City Clover
State South Carolina (SC)
Post Code 297101008
Phone Number 8032224518
Fax Number 8032224598

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 1860
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZX4199 SC --
Z18605 SC --

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FAQs about Clover Family Dentistry, Llc

What is the unique 10-digit identifier code issued to Clover Family Dentistry, Llc by the Centers for Medicare & Medicaid Services?

The Clover Family Dentistry, Llc has been assigned the NPI (National Provider Identifier) 1346461563 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Clover Family Dentistry, Llc located?

The Clover Family Dentistry, Llc is located at 203 Church St, Clover, SC 297101008.

What is the Clover Family Dentistry, Llc's specialty and taxonomy code?

The Clover Family Dentistry, Llc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

When did Clover Family Dentistry, Llc receive its 1346461563 assignment?

The Clover Family Dentistry, Llc was assigned its 1346461563 on 2007-05-02, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Clover Family Dentistry, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Clover Family Dentistry, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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