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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DUTCH FORK FAMILY DENTISTRY, PA

Active Organization

DUTCH FORK FAMILY DENTISTRY, PA is a Dental Clinic organization located in IRMO, South Carolina. NPI 1104166792 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · IRMO, SC

Registration Details

NPI Number
1104166792
Provider Type
Organization
NPI Issued
Feb 19, 2013 (13.335839686495 yrs)
Last Updated
Feb 19, 2013
License
4654 (SC)

Practice Information

Address
7436 BROAD RIVER RD STE 111
IRMO, SC, 290637601
Browse SC providers · Browse ZIP 29063
Phone
8037493333
Fax
8037493335
Primary Specialty
Dental Clinic
261QD0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.