Lake Wylie Family Dentistry PA
Lake Wylie Family Dentistry PA provides Dentist services in Lake Wylie, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.
- Licensed in
- SC
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1100 Village Harbor DrLake Wylie, SC 29710 Not confirmed with CMS for 18 years — call before visiting
Phone: (803) 831-8856
Fax: (803) 831-8966
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 2830 (SC) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 3673 (SC) |
Record details
| NPI number | 1437370798 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Stall — Insurance Dept · (803) 831-8856 |
| Other names | Dr Thomas N Stall Dmd Or Dr Stacy L Blackmon Dds |
| NPI enumerated | May 2, 2007 |
| Last updated in NPPES | February 4, 2008 |
| Mailing address | Po Box 5248, Lake Wylie, SC 29710 |
Other providers in Lake Wylie
-
Dr. Stacy L Blackmon, DDS
1100 Village Harbor Dr Lake Wylie Family Dentistry Pa, Lake Wylie, SC 29710 · (803) 831-8856
-
Lake Wylie Modern Dentistry, PC
140 Highway 274, Lake Wylie, SC 29710-6045 · (803) 752-0565
-
Dr. Christopher Andrew Snell, DDS
1100 Village Harbor Dr, Lake Wylie, SC 29710-9091 · (803) 831-8856
-
Dr. Thomas N Stall Sr., DMD
1100 Village Harbor Dr, Lake Wylie, SC 29710 · (803) 831-8856