Organization
DENTAL ACCESS CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E REESE III DMD (MEMBER)
(803) 324-3101
Entity
Organization
Contact information
Practice address
454 S. ANDERSON RD, SUITE 126, ROCK HILL, SC 29730
(803) 324-3101
(803) 324-3101
Mailing address
PO BOX 11804, ROCK HILL, SC 29731-1804
(803) 324-3101
(803) 324-3101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9620
—
SC
Enumeration date
04/26/2007
Last updated
08/22/2020
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