institution
Tylan Creek Family Dentistry Greenwood
Dental Clinic/Center in Greenwood, South Carolina
NPI 1891286613

Tylan Creek Family Dentistry Greenwood is a Dental Clinic/Center based in Simpsonville, SC and is specialized in Dental. Tylan Creek Family Dentistry Greenwood practices in Greenwood, SC. The NPI Number for Tylan Creek Family Dentistry Greenwood is 1891286613 and holds a License No. 2867 (South Carolina).

The current practice location address for Tylan Creek Family Dentistry Greenwood is 3710 Highway 221- 72E, Greenwood, SC and can be reached out via phone at 864-630-9103 and via fax at 864-603-2201. You can also correspond with Tylan Creek Family Dentistry Greenwood through the mailing address at 330 HARRISON BRIDGE RD, SIMPSONVILLE, SC - 29680-7133 (mailing address contact number: 864-630-9103).

Location: 3710 Highway 221- 72E, Greenwood, SC, 29680-7133
institution
Provider Profile Details
NPI Number
1891286613
Provider Name
Tylan Creek Family Dentistry Greenwood
Credential
Provider Entity Type
Organization
Address
3710 Highway 221- 72E, Greenwood, SC, 29680-7133
Phone Number
864-630-9103
Fax Number
864-603-2201
Provider Enumeration Date
05/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2867 01 SC DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
3710 Highway 221- 72E
City
State
Zip
29649
Phone Number
864-630-9103
Fax Number
864-603-2201
person
Provider Business Mailing Address Details
Address
3710 Highway 221- 72E
City
State
Zip
29649
Phone Number
864-630-9103
Fax Number
864-603-2201
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
2867 (South Carolina)
Definition
Definition to come...
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