Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa
Dental Clinic
10229 Clemson Blvd # A, Seneca
South Carolina, 29678-0817
864-882-0620 Maps & DirectionsKendon A Ross, Dds, Malia Fredrickson, Dds, Pa is a Dental Clinic in Seneca, South Carolina. It is located at 10229 Clemson Blvd # A, Seneca, SC and its contact number is 864-882-0620. The authorized person for Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa is Kendon A Ross
who is Officer of the clinic and their contact number is 864-882-0620. The primary license number for Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa is 3260 (General Practice) in South Carolina.
Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 10229 Clemson Blvd # A, Seneca,
South Carolina, 29678-0817 |
| Phone: | 864-882-0620 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Kendon A Ross |
| Position: | Officer |
| Contact Number: | 864-882-0620 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa clinic are as mentioned below.
| NPI Number: | 1558432146 |
| NPI Enumeration Date: | 13 Nov, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 3260 | South Carolina | Primary | |
| General Practice | 3286 | South Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| ZA9819 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa
Po Box 1897,
Seneca, South Carolina |
| Zip: | 29679-1897 |
| Phone Number: | 864-882-0620 |
Patients can reach Kendon A Ross, Dds, Malia Fredrickson, Dds, Pa at
10229 Clemson Blvd # A, Seneca, South Carolina or can
call to book an appointment on 864-882-0620.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.