Lake Wylie Family Dentistry Pa is a Dental Clinic in Lake Wylie, South Carolina. It is located at 1100 Village Harbor Dr, Lake Wylie, SC and its contact number is 803-831-8856. The authorized person for Lake Wylie Family Dentistry Pa is Mrs. Susan M Stall
who is Insurance Dept of the clinic and their contact number is 803-831-8856. The primary license number for Lake Wylie Family Dentistry Pa is 2830 (Dentist) in South Carolina.
Lake Wylie Family Dentistry Pa Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Lake Wylie Family Dentistry Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Lake Wylie Family Dentistry Pa |
| Specialization: | Dentistry |
| Clinic Address: | 1100 Village Harbor Dr, Lake Wylie,
South Carolina, 29710 |
| Phone: | 803-831-8856 |
| Fax: | 803-831-8966 |
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: | Mrs. Susan M Stall |
| Position: | Insurance Dept |
| Contact Number: | 803-831-8856 |
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 Lake Wylie Family Dentistry Pa clinic are as mentioned below.
| NPI Number: | 1437370798 |
| NPI Enumeration Date: | 02 May, 2007 |
| NPI Last Update On: | 04 Feb, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Wylie Family Dentistry Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 2830 | South Carolina | Primary | |
| Dentist | 3673 | South Carolina | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lake Wylie Family Dentistry Pa
Po Box 5248,
Lake Wylie, South Carolina |
| Zip: | 29710 |
| Phone Number: | 803-831-8856 |
| Fax Number: | 803-831-8966 |
Patients can reach Lake Wylie Family Dentistry Pa at
1100 Village Harbor Dr, Lake Wylie, South Carolina or can
call to book an appointment on 803-831-8856.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.