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Carolina Pediatric Dentistry
Dental Clinic/Center in Spartanburg, South Carolina
NPI 1326332628

Carolina Pediatric Dentistry is a Dental Clinic/Center based in Spartanburg, SC and is specialized in Dental. Carolina Pediatric Dentistry practices in Spartanburg, SC. The NPI Number for Carolina Pediatric Dentistry is 1326332628 and holds a License No. 3703 (South Carolina).

The current practice location address for Carolina Pediatric Dentistry is 763 E. Main Street, Spartanburg, SC and can be reached out via phone at 864-585-8558 and via fax at 864-580-4242.

Location: 763 E. Main Street, Spartanburg, SC, 29302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326332628
Provider Name
Carolina Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
763 E. Main Street, Spartanburg, SC, 29302
Phone Number
864-585-8558
Fax Number
864-580-4242
Provider Enumeration Date
06/03/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZX3703 05 SC
institution
Provider Business Practice Location Address Details
Address
763 E. Main Street
City
Spartanburg
State
South Carolina
Zip
29302
Phone Number
864-585-8558
Fax Number
864-580-4242
person
Provider Business Mailing Address Details
Address
763 E. Main Street
City
Spartanburg
State
South Carolina
Zip
29302
Phone Number
864-585-8558
Fax Number
864-580-4242
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
3703 (South Carolina)
Definition
Definition to come...
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