Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southlake Family Dentistry LLC

Organization General Practice Dentistry · NPI 1487670667

Southlake Family Dentistry LLC is a General Practice Dentistry in Fort Mill, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1741 Gold Hill Rd Ste 2010
Fort Mill, SC 29708-8202
Phone: (803) 548-3342
Fax: (803) 548-3817
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2588 (SC)
General Practice Dentistry Taxonomy 1223G0001X · Licence 3549 (SC)

Record details

NPI number1487670667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Kimsey — President · (803) 548-3342
NPI enumeratedJuly 14, 2006
Last updated in NPPESJuly 16, 2007
Mailing address1741 Gold Hill Rd, Suite 2010, Fort Mill, SC 29708-8202

Other providers in Fort Mill