Organization
SOUTHERN OAKS FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L PHELPS DDS (OWNER)
(864) 850-9100
Entity
Organization
Contact information
Practice address
3904 HIGHWAY 86, EASLEY, SC 29642-9549
(864) 850-9100
(864) 850-0250
Mailing address
3904 HIGHWAY 86, EASLEY, SC 29642-9549
(864) 850-9100
(864) 850-0250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3795
SC
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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