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Logan Ebersold, DMD
NPI 1053540708 · on the registry since 2009
Practice
- Address
- 200 N Dobys Bridge Rd Ste 108
Fort Mill, SC 29715 - Phone
- (803) 396-5888
- Fax
- (803) 396-5896
- Organisation at this address
- Redec Pharmacy
Catawba River Dentistry, LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina