NPI 1073068847

Family Dentistry of Edgefield

Organisation General Practice Dentistry Edgefield, SC

Practice location

Address: 437 Bauskett St, Edgefield, SC 29824-4501
Phone: (803) 637-4616
Fax: (888) 723-3083

Authorised official

Name: Matthew Wayne Cook
Title: Ower/Doctor
Phone: (803) 637-4616

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 4708 (SC)

Other Dentist providers in South Carolina →

Registry record

NPI: 1073068847
Entity type: Organization
NPI issued: 22 Aug 2016
Record last updated: 23 Jun 2021

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.