R MATHIS 002 LLC NPI 1124664743

NPI Information

R MATHIS 002 LLC is a general practice dentist in Spartanburg, 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. R MATHIS 002 LLC NPI is 1124664743. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Foothills Dental.

The provider's business location address is:

2830 REIDVILLE RD
SPARTANBURG, SC
ZIP 29301-640
Phone: (864) 574-0762

The provider's authorized official is Dallas Burnett .
The authorized official title is Ceo and has the following contact phone number (864) 415-0931.

The enumeration date for this NPI number is 11/19/2019 and was last updated on 11/4/2021.

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:

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