Healthcare Provider Details

I. General information

NPI: 1932690989
Provider Name (Legal Business Name): AFFINITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2018
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 LAKESHORE PKWY
ROCK HILL SC
29730-4205
US

IV. Provider business mailing address

455 LAKESHORE PKWY
ROCK HILL SC
29730-4205
US

V. Phone/Fax

Practice location:
  • Phone: 803-909-6363
  • Fax: 877-658-8669
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. HEATHER MCCUTCHEON
Title or Position: CEO
Credential:
Phone: 803-909-9710