| Dentistry At Simpsonville | |
|
1219 W Georgia Rd Simpsonville SC 29680-6335 | |
| (864) 228-9112 | |
| (864) 228-9152 |
| Full Name | Dentistry At Simpsonville |
|---|---|
| Speciality | Dentist |
| Location | 1219 W Georgia Rd, Simpsonville, South Carolina |
| Authorized Official Name and Position | Mark J Mccoy (OWNER/DENTIST) |
| Authorized Official Contact | 8642289112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry At Simpsonville 1219 W Georgia Rd Simpsonville SC 29680-6335 Ph: (864) 228-9112 | Dentistry At Simpsonville 1219 W Georgia Rd Simpsonville SC 29680-6335 Ph: (864) 228-9112 |
| NPI Number | 1346639457 |
|---|---|
| Provider Enumeration Date | 01/13/2015 |
| Last Update Date | 01/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346639457 | NPI | - | NPPES |
| 3610 | Other | SC | SOUTH CAROLINA STATE BOARD OF DENTISTRY LICENSE NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3610 (South Carolina) | Primary |
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