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Pediatric Dentistry Of Greenwood, P.a.
Pediatric Dentist in Greenwood, South Carolina
NPI 1215188388

Pediatric Dentistry Of Greenwood, P.a. is a Pediatric Dentist based in Greenwood, SC and is specialized in Pediatric Dentistry. Pediatric Dentistry Of Greenwood, P.a. practices in Greenwood, SC. The NPI Number for Pediatric Dentistry Of Greenwood, P.a. is 1215188388 and holds a License No. SC4112 (South Carolina).

The current practice location address for Pediatric Dentistry Of Greenwood, P.a. is 1202B Hwy 72 W, Greenwood, SC and can be reached out via phone at 864-229-0305.

Location: 1202B Hwy 72 W, Greenwood, SC, 29649-1816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215188388
Provider Name
Pediatric Dentistry Of Greenwood, P.a.
Credential
Provider Entity Type
Organization
Address
1202B Hwy 72 W, Greenwood, SC, 29649-1816
Phone Number
864-229-0305
Fax Number
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZX4050 05 SC
ZX4112 05 SC
institution
Provider Business Practice Location Address Details
Address
1202B Hwy 72 W
City
Greenwood
State
South Carolina
Zip
29649-1816
Phone Number
864-229-0305
Fax Number
person
Provider Business Mailing Address Details
Address
1202B Hwy 72 W
City
Greenwood
State
South Carolina
Zip
29649-1816
Phone Number
864-229-0305
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
SC4112 (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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