Organization · Type 2 NPI
Katie L Macken DDS LLC
Dental Clinic/Center · Fort Mill, SC
NPI number
1619549540
Active
Practice location
1550 N Dobys Bridge Rd Ste 101
Fort Mill, SC 29715-7626
Mailing address
10806 Cove Point Dr
Charlotte, NC 28278-6944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1619549540
Katie L Macken DDS LLC's National Provider Identifier is 1619549540, issued on Jul 12, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fort Mill, SC. The record was last updated on Jul 12, 2021.