GREENVILLE PEDIATRIC DENTISTRY PA NPI 1366522922

NPI Information

GREENVILLE PEDIATRIC DENTISTRY PA is a pediatric dentistry dentist in Greenville, SC. The provider is 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. GREENVILLE PEDIATRIC DENTISTRY PA NPI is 1366522922. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Drs. Wilson, Uprichard And Czarsty Pa.

The provider's business location address is:

1376 CLEVELAND ST
GREENVILLE, SC
ZIP 29607-435
Phone: (864) 250-1100
Fax: (864) 250-1604

The provider's authorized official is Tammy Knight Porter .
The authorized official title is Insurance Claims Manager and has the following contact phone number (864) 250-1100.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 6/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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