institution
Pediatric Dentistry Of Greenville,p.a.
Pediatric Dentist in Greenville, South Carolina
NPI 1902884984

Pediatric Dentistry Of Greenville,p.a. is a Pediatric Dentist based in Greenville, SC and is specialized in Pediatric Dentistry. Pediatric Dentistry Of Greenville,p.a. practices in Greenville, SC. The NPI Number for Pediatric Dentistry Of Greenville,p.a. is 1902884984 and holds a License No. ZA9916 (South Carolina).

The current practice location address for Pediatric Dentistry Of Greenville,p.a. is 410A Pelham Rd, Greenville, SC and can be reached out via phone at 864-232-1574 and via fax at 864-232-6800.

Location: 410A Pelham Rd, Greenville, SC, 29615-3502
institution
Provider Profile Details
NPI Number
1902884984
Provider Name
Pediatric Dentistry Of Greenville,p.a.
Credential
Provider Entity Type
Organization
Address
410A Pelham Rd, Greenville, SC, 29615-3502
Phone Number
864-232-1574
Fax Number
864-232-6800
Provider Enumeration Date
01/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZA9916 05 SC
institution
Provider Business Practice Location Address Details
Address
410A Pelham Rd
City
State
Zip
29615-3502
Phone Number
864-232-1574
Fax Number
864-232-6800
person
Provider Business Mailing Address Details
Address
410A Pelham Rd
City
State
Zip
29615-3502
Phone Number
864-232-1574
Fax Number
864-232-6800
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
ZA9916 (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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