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

SOUTHLAKE FAMILY DENTISTRY LLC

Active Organization

SOUTHLAKE FAMILY DENTISTRY LLC is a General Dentistry organization located in FORT MILL, South Carolina. NPI 1487670667 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FORT MILL, SC

Registration Details

NPI Number
1487670667
Provider Type
Organization
NPI Issued
Jul 14, 2006 (20.04173781281 yrs)
Last Updated
Jul 16, 2007
Licenses
3549 (SC)
2588 (SC)

Practice Information

Address
1741 GOLD HILL RD
SUITE 2010
FORT MILL, SC, 297088202
Browse SC providers · Browse ZIP 29708
Phone
8035483342
Fax
8035483817
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
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.