MEDICARE: JAMES RICHARD FINLEY D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4368	SC

General Provider Information

NPI Number	:	1871792267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES RICHARD FINLEY D.D.S.

Provider Business Mailing Address
First Line	:	1741 GOLD HILL RD
Second Line	:	SUITE 2010
City	:	FORT MILL
State	:	SC
Zip	:	29708-8202
Country	:	US
Telephone Number	:	803-548-3342
Fax Number	:	803-548-3817

Provider Business Practice Location Address
First Line	:	1741 GOLD HILL RD
Second Line	:	SUITE 2010
City	:	FORT MILL
State	:	SC
Zip	:	29708-8202
Country	:	US
Telephone Number	:	803-548-3342
Fax Number	:	803-548-3817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2007
Last Update Date	:	07/16/2007

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