Organization
BELTON COMPREHENSIVE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. P. HAMPTON KENNEMORE III M.D. (OWNER)
(864) 338-6589
Entity
Organization
Contact information
Practice address
1000 PINE TOP RD, BELTON, SC 29627-9539
(864) 338-6589
(864) 338-0722
Mailing address
PO BOX 649, BELTON, SC 29627-0649
(864) 338-6589
(864) 338-0722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4108
SC
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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