NPI 1033341433

White Knoll Dentistry, LLC

Organisation Dental Clinic/Center Lexington, SC

Practice location

Address: 5545 Platt Springs Rd, Lexington, SC 29073
Phone: (803) 359-3245
Mailing address: 341 Longwood Dr, Lexington, SC 29073-8537

Authorised official

Name: Melissa Ray Backman
Title: Dentist
Phone: (803) 359-3245

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 4290 (SC)

Other Clinic/Center providers in South Carolina →

Registry record

NPI: 1033341433
Entity type: Organization
NPI issued: 18 Aug 2009
Record last updated: 18 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.