Organization
K AND N DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAMPTON KENNEMORE DMD (OWNER)
(864) 576-7169
Entity
Organization
Contact information
Practice address
125 POWELL MILL RD, SPARTANBURG, SC 29301-1589
(864) 574-0788
(864) 576-5359
Mailing address
125 POWELL MILL RD, SPARTANBURG, SC 29301-1589
(864) 574-0788
(864) 576-5359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3313
SC
1223G0001X
General Practice Dentistry
3783
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9626
—
SC
Enumeration date
10/13/2009
Last updated
10/19/2009
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