CDA DENTAL PA NPI 1043630437

NPI Information

CDA DENTAL PA is a general practice dentist in Lyman, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CDA DENTAL PA NPI is 1043630437. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lyman Family Dentistry.

The provider's business location address is:

301 SPARTANBURG RD
LYMAN, SC
ZIP 29365-746
Phone: (864) 439-1240
Fax: (864) 439-1241

The provider's authorized official is Christopher Derek Ayers .
The authorized official title is President and has the following contact phone number (843) 406-3678.

The enumeration date for this NPI number is 4/23/2014 and was last updated on 4/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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