Organization
ORTHODONTIC SPECIALISTS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WALTER EPPS D.M.D. (DOCTOR)
(803) 775-5500
Entity
Organization
Contact information
Practice address
685 N GUIGNARD DR, SUMTER, SC 29150-2436
(803) 775-5500
(803) 775-9020
Mailing address
685 N GUIGNARD DR, SUMTER, SC 29150-2436
(803) 775-5500
(803) 775-9020
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2711
SC
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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