Individual provider · Type 1 NPI

Georgea B. Thekkethottiyil, DDS

General Practice Dentistry · Simpsonville, SC

NPI number 1013267467 Active

Practice location

109 Windsorgate Way
Simpsonville, SC 29681-3698

Call (267) 241-8248 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019.029190 (IL)
General Practice Dentistry Primary 1223G0001X8598 (SC)

General Practice Dentistry: 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.

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About NPI 1013267467

Georgea B. Thekkethottiyil, DDS's National Provider Identifier is 1013267467, issued on Sep 13, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Simpsonville, SC. The record was last updated on Oct 17, 2022.