Mountain Lakes Family Dentstry is a Dental Clinic in Clemson, South Carolina. It is located at 635 Old Greenville Hwy, Clemson, SC and its contact number is 864-722-9255. The authorized person for Mountain Lakes Family Dentstry is Dr. Ryan Patrick Macrae
who is Dentist-owner of the clinic and their contact number is 864-722-9255. The primary license number for Mountain Lakes Family Dentstry is 4031 (Dentist) in South Carolina. Mountain Lakes Family Dentstry 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:
Mountain Lakes Family Dentstry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mountain Lakes Family Dentstry
Specialization:
Dentistry
Clinic Address:
635 Old Greenville Hwy, Clemson, South Carolina, 29631-1219
Phone:
864-722-9255
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:
Dr. Ryan Patrick Macrae
Position:
Dentist-owner
Contact Number:
864-722-9255
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 Mountain Lakes Family Dentstry clinic are as mentioned below.
NPI Number:
1124304795
NPI Enumeration Date:
27 Oct, 2011
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mountain Lakes Family Dentstry are as mentioned below.
Specialization
License Number
State
Status
Dentist
4031
South Carolina
Primary
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
2X4031
Medicaid
South Carolina
4031
Other
South Carolina
License#
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mountain Lakes Family Dentstry 635 Old Greenville Hwy, Clemson, South Carolina
Zip:
29631-1219
Phone Number:
864-722-9255
Patients can reach Mountain Lakes Family Dentstry at 635 Old Greenville Hwy, Clemson, South Carolina or can call to book an appointment on 864-722-9255. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.