Individual
KATHLEEN W MONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 REGENT PARK CT, GREENVILLE, SC 29607-6534
(864) 539-2607
Mailing address
100 REGENT PARK CT, GREENVILLE, SC 29607-6534
(864) 539-4630
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3818
SC
1223P0221X
Pediatric Dentistry
Primary
583PD
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3818
—
SC
Enumeration date
04/11/2007
Last updated
01/10/2026
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