UPSTATE PROSTHODONTICS L.L.C. NPI 1841365095

NPI Information

UPSTATE PROSTHODONTICS, L.L.C. is a prosthodontics dentist in Greenville, SC. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. UPSTATE PROSTHODONTICS, L.L.C. NPI is 1841365095. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

321 MILLS AVE
GREENVILLE, SC
ZIP 29605-021
Phone: (864) 232-3882
Fax: (864) 240-7494

The provider's authorized official is Donald Lee Ridgell .
The authorized official title is Doctor and has the following contact phone number (864) 232-3882.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 8/22/2020.

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:

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