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Indigo Pediatric Dentistry
Pediatric Dentist in Easley, South Carolina
NPI 1174082713

Indigo Pediatric Dentistry is a Pediatric Dentist based in Easley, SC and is specialized in Pediatric Dentistry. Indigo Pediatric Dentistry practices in Easley, SC. The NPI Number for Indigo Pediatric Dentistry is 1174082713 and holds a License No. (South Carolina).

The current practice location address for Indigo Pediatric Dentistry is 1673 E Main St Unit B, Easley, SC and can be reached out via phone at 864-442-6770 and via fax at 864-442-6830.

Location: 1673 E Main St Unit B, Easley, SC, 29640-3791
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174082713
Provider Name
Indigo Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
1673 E Main St Unit B, Easley, SC, 29640-3791
Phone Number
864-442-6770
Fax Number
864-442-6830
Provider Enumeration Date
03/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZX8355 05 SC
1609282425 01 SC NPI
institution
Provider Business Practice Location Address Details
Address
1673 E Main St Unit B
City
Easley
State
South Carolina
Zip
29640-3791
Phone Number
864-442-6770
Fax Number
864-442-6830
person
Provider Business Mailing Address Details
Address
1673 E Main St Unit B
City
Easley
State
South Carolina
Zip
29640-3791
Phone Number
864-442-6770
Fax Number
864-442-6830
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
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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