institution
Keenan W. Smith, D.m.d., P.a.
Dental Clinic/Center in Greenville, South Carolina
NPI 1073757381

Keenan W. Smith, D.m.d., P.a. is a Dental Clinic/Center based in Greenville, SC and is specialized in Dental. Keenan W. Smith, D.m.d., P.a. practices in Greenville, SC. The NPI Number for Keenan W. Smith, D.m.d., P.a. is 1073757381 and holds a License No. 4348 (South Carolina).

The current practice location address for Keenan W. Smith, D.m.d., P.a. is 40 Creekview Ct, Greenville, SC and can be reached out via phone at 864-676-0825 and via fax at 864-676-9859. You can also correspond with Keenan W. Smith, D.m.d., P.a. through the mailing address at 40 CREEKVIEW CT, GREENVILLE, SC - 29615-4800 (mailing address contact number: 864-676-0825).

Location: 40 Creekview Ct, Greenville, SC, 29615-4800
institution
Provider Profile Details
NPI Number
1073757381
Provider Name
Keenan W. Smith, D.m.d., P.a.
Credential
Provider Entity Type
Organization
Address
40 Creekview Ct, Greenville, SC, 29615-4800
Phone Number
864-676-0825
Fax Number
864-676-9859
Provider Enumeration Date
04/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZX4348 05 SC
institution
Provider Business Practice Location Address Details
Address
40 Creekview Ct
City
State
Zip
29615-4800
Phone Number
864-676-0825
Fax Number
864-676-9859
person
Provider Business Mailing Address Details
Address
40 Creekview Ct
City
State
Zip
29615-4800
Phone Number
864-676-0825
Fax Number
864-676-9859
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
4348 (South Carolina)
Definition
Definition to come...
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