Most Relevant Information
Provider Data
| NPI Number: | 1003392275 |
| Provider Name: | KATELYN NEVITT DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 9194 |
Most Important Dates
| Enumeration Date: | 07/11/2018 |
| Last Updated: | 07/11/2018 |
Provider Practice Location
460 W KILLIAN RD
COLUMBIA
SC
29203
Practice Location Phone/Fax
| Phone: | 8038140102 |
| Fax: |
Provider Mailing Location
422 HAWKEYE CT
COLUMBIA
SC
292065094
Provider Mailing Phone/Fax
| Phone: | 2199297848 |
| Fax: |