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SOUTHLAKE FAMILY DENTISTRY LLC
NPI 1487670667
Dentist - General Practice in Fort Mill, SC

Active since July 14, 2006
1741 GOLD HILL RD, SUITE 2010, FORT MILL, SC 29708(803) 548-3342(803) 548-3817 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southlake Family Dentistry Llc NPPES

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

SOUTHLAKE FAMILY DENTISTRY LLC (NPI 1487670667) is a healthcare organization registered as a general practice in Fort Mill, South Carolina and active in the NPI registry since July 2006. The organization lists Gary C Kimsey, President, as its authorized official.

NPPES Registry Identity

NPI1487670667
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHLAKE FAMILY DENTISTRY LLC
Location Address1741 GOLD HILL RD, SUITE 2010Fort Mill, SC 29708-8202
Mailing Address1741 Gold Hill Rd, Suite 2010Fort Mill, SC 29708-8202 · (803) 548-3342 · Fax (803) 548-3817
Phone(803) 548-3342
Fax(803) 548-3817
Organization SubpartNo
Authorized OfficialGary C KimseyPresident · (803) 548-3342
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 16, 2007
✔ NPI 1487670667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in SC · 2588✔ Licensed in SC · 3549
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.
1741 GOLD HILL RD, Fort Mill, SC 29708
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

MICHAEL D RIORDAN DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
1741 GOLD HILL RD, SUITE 200
FORT MILL, SC 29708
York County (803) 802-2580
OM SAI RX LLC.
Pharmacy (Community/Retail Pharmacy)
1741 GOLD HILL RD, SUITE 106
FORT MILL, SC 29708
York County (803) 547-6100
DR. PRIYA P CHOUGULE DMD
Dentist
1741 GOLD HILL RD
FORT MILL, SC 29708
York County (803) 548-3342
MICHAEL D. RIORDAN, D.M.D., P.C.
Clinic/Center (Dental)
1741 GOLD HILL RD, SUITE 200
FORT MILL, SC 29708
York County (803) 802-2580
JAMES RICHARD FINLEY D.D.S.
Dentist (General Practice)
1741 GOLD HILL RD, SUITE 2010
FORT MILL, SC 29708
York County (803) 548-3342
MICHAEL SHANE SLOAN D.M.D.
Dentist (General Practice)
1741 GOLD HILL RD, SUITE 2010
FORT MILL, SC 29708
York County (803) 548-3342
CHOUGULE DENTAL CARE LLC
Dentist (General Practice)
1741 GOLD HILL RD
FORT MILL, SC 29708
York County (201) 675-7256

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 Southlake Family Dentistry LLC's NPI number?

The NPI number for Southlake Family Dentistry LLC is 1487670667. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Southlake Family Dentistry LLC located?

Southlake Family Dentistry LLC is located at 1741 Gold Hill Rd Suite 2010, Fort Mill, SC 29708. The listed phone number is (803) 548-3342.

What is Southlake Family 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 Southlake Family Dentistry LLC was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.