Organization
JASPER DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE M JASPER DDS (OWNER/DENTIST)
(803) 548-4353
Entity
Organization
Contact information
Practice address
2752 PLEASANT RD, SUITE 106, FORT MILL, SC 29708-7227
(803) 548-4353
(803) 548-4453
Mailing address
2752 PLEASANT RD, SUITE 106, FORT MILL, SC 29708-7227
(803) 548-4353
(803) 548-4453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3004
SC
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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