MEDICARE: DR. DOCK CLEVELAND MCDUFFIE III 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	3496	SC

General Provider Information

NPI Number	:	1114984994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOCK CLEVELAND MCDUFFIE III D.D.S.

Provider Business Mailing Address
First Line	:	427 DAVE LYLE BLVD S
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29730-4402
Country	:	US
Telephone Number	:	803-328-0858
Fax Number	:	803-324-7748

Provider Business Practice Location Address
First Line	:	427 DAVE LYLE BLVD S
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29730-4402
Country	:	US
Telephone Number	:	803-328-0858
Fax Number	:	803-324-7748

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	07/08/2007

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