Organization
SPRINGFIELD DENTISTRY
Active
Parent organization
MARK KLOPENSTINE PC
Other names
Springfield Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARK KLOPENSTINE PC
Authorized official
DR. MARK KLOPENSTINE D.D.S. (PRESIDENT)
(803) 548-0005
Entity
Organization
Contact information
Practice address
452 MERCANTILE PLACE, FORT MILL, SC 29715
(803) 548-0005
Mailing address
452 MERCANTILE PLACE, FORT MILL, SC 29715
(803) 548-0005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4508
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1223G0001X
—
SC
Enumeration date
12/21/2016
Last updated
12/21/2016
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