| Fleetwood Dental | |
|
105 Fleetwood Dr Easley SC 29640-2019 | |
| (864) 855-2788 | |
| (864) 855-2789 |
| Full Name | Fleetwood Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 Fleetwood Dr, Easley, South Carolina |
| Authorized Official Name and Position | Willis Ely Hawkins (OWNER) |
| Authorized Official Contact | 8648552788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fleetwood Dental 105 Fleetwood Dr Easley SC 29640-2019 Ph: (864) 855-2788 | Fleetwood Dental 105 Fleetwood Dr Easley SC 29640-2019 Ph: (864) 855-2788 |
| NPI Number | 1073647889 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073647889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3264 (South Carolina) | Primary |
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