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CATAWBA RIVER DENTISTRY, LLC
NPI 1255113932
Dentist - General Practice in Fort Mill, SC

Active since October 18, 2023
200 N DOBYS BRIDGE RD STE 108, FORT MILL, SC 29715(803) 396-5888(803) 396-5893 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Catawba River Dentistry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CATAWBA RIVER DENTISTRY, LLC (NPI 1255113932), doing business as Dr Logan Ebersold Dmd Llc, is a healthcare organization registered as a general practice in Fort Mill, South Carolina and active in the NPI registry since October 2023. The organization lists Stephanie R Montuori, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1255113932
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCATAWBA RIVER DENTISTRY, LLC
Location Address200 N DOBYS BRIDGE RD STE 108Fort Mill, SC 29715-2084
Mailing Address200 N Dobys Bridge Rd Ste 108Fort Mill, SC 29715-2084 · (803) 396-5888 · Fax (803) 396-5893
Phone(803) 396-5888
Fax(803) 396-5893
Organization SubpartNo
Authorized OfficialStephanie R MontuoriOffice Manager · (803) 396-5888
Enumeration DateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
✔ NPI 1255113932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
200 N DOBYS BRIDGE RD STE 108, Fort Mill, SC 29715
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Other Names 1

Former Legal Business NameDr Logan Ebersold Dmd Llc

Other Identifiers 1

Other1770100505General Dentist

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LOGAN B EBERSOLD DMD
Dentist (General Practice)
200 N DOBYS BRIDGE RD STE 108
FORT MILL, SC 29715
York County (803) 396-5888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Catawba River Dentistry, LLC's NPI number?

The NPI number for Catawba River Dentistry, LLC is 1255113932. It was assigned to this organization in the NPPES registry on October 18, 2023. The provider was formerly known as Dr Logan Ebersold DMD LLC.

Where is Catawba River Dentistry, LLC located?

Catawba River Dentistry, LLC is located at 200 N Dobys Bridge Rd Ste 108, Fort Mill, SC 29715. The listed phone number is (803) 396-5888.

What is Catawba River Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Catawba River Dentistry, LLC was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.