Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKE WYLIE PEDIATRIC DENTISTRY, LLC
Active OrganizationLAKE WYLIE PEDIATRIC DENTISTRY, LLC is a Pediatric Dentistry organization located in CLOVER, South Carolina. NPI 1528428091 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CLOVER, SC
Registration Details
- NPI Number
- 1528428091
- Provider Type
- Organization
- NPI Issued
- Feb 26, 2016 (10.488823622523 yrs)
- Last Updated
- Mar 24, 2017
- License
-
8097 (SC)
Practice Information
- Address
-
534 NAUTICAL DR.CLOVER, SC, 297106102Browse SC providers · Browse ZIP 29710
- Phone
- 8036195155
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
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.