institution
Greenville Ear Nose & Throat
Oral and Maxillofacial Surgery Clinic/Center in Greenville, South Carolina
NPI 1932169273

Greenville Ear Nose & Throat is a Oral and Maxillofacial Surgery Clinic/Center based in Greenville, SC and is specialized in Oral and Maxillofacial Surgery. Greenville Ear Nose & Throat practices in Greenville, SC. The NPI Number for Greenville Ear Nose & Throat is 1932169273 and holds a License No. 15939 (South Carolina).

The current practice location address for Greenville Ear Nose & Throat is 200 Patewood Dr, Greenville, SC and can be reached out via phone at 864-454-4368 and via fax at 864-454-4345. You can also correspond with Greenville Ear Nose & Throat through the mailing address at PO BOX 26569, GREENVILLE, SC - 29616-1569 (mailing address contact number: 864-454-4368).

Location: 200 Patewood Dr, Greenville, SC, 29616-1569
institution
Provider Profile Details
NPI Number
1932169273
Provider Name
Greenville Ear Nose & Throat
Credential
Provider Entity Type
Organization
Address
200 Patewood Dr, Greenville, SC, 29616-1569
Phone Number
864-454-4368
Fax Number
864-454-4345
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CL5602 01 SC RAILROAD MEDICARE
GP0618 05 SC
institution
Provider Business Practice Location Address Details
Address
200 Patewood Dr
City
State
Zip
29615-3593
Phone Number
864-454-4368
Fax Number
864-454-4345
person
Provider Business Mailing Address Details
Address
Po Box 26569
City
State
Zip
29616-1569
Phone Number
864-454-4368
Fax Number
864-454-4345
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
15939 (South Carolina)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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