GEORGEA B THEKKETHOTTIYIL, DDS

NPI: 1013267467 · Individual · Active

Primary Specialty

General Practice Dentistry
Dentist — General Practice

Practice Location

109 WINDSORGATE WAY
SIMPSONVILLE, SC 29681-3698 Map ↗
Phone: 267-241-8248

All Specialties & Licenses

  • General Practice Dentistry Primary — General Practice (license: 8598, SC)
  • Dentist (license: 019.029190, IL)

NPI Registration

Enumerated: 2012-09-13

Last CMS Update: 2022-10-17