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Search › South Carolina › General Practice Dentistry

Jason Makowski

NPI 1396865705 · on the registry since 2007 · sole proprietor

Practice

Address
220 Bridges Rd
Simpsonville, SC 29681
Phone
(864) 675-6445
Fax
(864) 675-6447
Organisation at this address
Providence Dental Group Llc
Inferred 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
2007-07-08

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