Provider Demographics
NPI:1245754951
Name:CECIL, JULIE J (DMD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:J
Last Name:CECIL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 FOSTER ROAD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBUG
Mailing Address - State:SC
Mailing Address - Zip Code:29346
Mailing Address - Country:US
Mailing Address - Phone:864-580-1100
Mailing Address - Fax:
Practice Address - Street 1:750 FOSTER RD
Practice Address - Street 2:
Practice Address - City:INMAN
Practice Address - State:SC
Practice Address - Zip Code:29349-8228
Practice Address - Country:US
Practice Address - Phone:864-580-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC-27301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice