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Dr. Charles Austin Birch, DMD
Pediatric Dentist in Spartanburg, South Carolina
NPI 1124065107

Charles Austin Birch is a Pediatric Dentist based in Spartanburg, SC and is specialized in Pediatric Dentistry. Charles Austin Birch practices in Spartanburg, SC and has the professional credentials of DMD. The NPI Number for Charles Austin Birch is 1124065107 and holds a License No. 4059 (South Carolina).

The current practice location address for Charles Austin Birch is 1575 Skylyn Dr, Spartanburg, SC and can be reached out via phone at 864-699-9193.

Location: 1575 Skylyn Dr, Spartanburg, SC, 29307-1034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124065107
Provider Name
Charles Austin Birch
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1575 Skylyn Dr, Spartanburg, SC, 29307-1034
Phone Number
864-699-9193
Fax Number
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z4059 05 SC
institution
Provider Business Practice Location Address Details
Address
1575 Skylyn Dr
City
Spartanburg
State
South Carolina
Zip
29307-1034
Phone Number
864-699-9193
Fax Number
person
Provider Business Mailing Address Details
Address
1575 Skylyn Dr
City
Spartanburg
State
South Carolina
Zip
29307-1034
Phone Number
864-699-9193
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
4059 (South Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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