# SENECA FAMILY DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Place Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932519436
- **Authorized official:** MATTHEW WORD (OWNER)
- **Authorized official phone:** (864) 482-2400

## Contact information

- **Practice address:** 203B CENTRAL PARK LN, SENECA, SC 29678-1156
- **Practice address phone:** (864) 482-2400
- **Practice address fax:** (864) 482-2404
- **Mailing address:** 203B CENTRAL PARK LN, SENECA, SC 29678-1156
- **Mailing address phone:** (864) 482-2400
- **Mailing address fax:** (864) 482-2404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4360 | SC | Yes |

## Other

- **Enumeration date:** 05/06/2014
- **Last updated:** 05/06/2014
