Clarendon Family Dentistry Inc

Organization Active NPI Dentist · Manning, SC

NPI 1740445253 · NPPES record last updated Jul 23, 2008

Key facts

NPI
1740445253
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
4463 (SC)
Legal business name
CLARENDON FAMILY DENTISTRY INC
Practice address
17 E Hospital St
Manning, SC 29102-3152
Phone
(803) 433-8090
NPI assigned
Jul 23, 2008
Organization subpart
No

Authorized official

Name
Derek L Lee, DMD NPI 1205090503
Title
Owner
Phone
(803) 433-8090

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X 4463 SC Yes

Addresses

Primary practice location

17 E Hospital St
Manning, SC 29102-3152

Mailing address

17 E Hospital St
PO Box 428
Manning, SC 29102-3152
Phone (803) 433-8090

Other providers in Manning, SC

All providers in Manning, SC · Dentist in South Carolina

Sources for this page

Verify at the official NPI Registry.