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RADIANT DENTISTRY NPI 1225285646


NPI Information

NPI: 1225285646
Provider Name: RADIANT DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1440 FERNWOOD GLENDALE RD
SPARTANBURG, SC
ZIP 29307
Phone: (864) 582-2950
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RADIANT DENTISTRY is a general practice dentist in Spartanburg, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RADIANT DENTISTRY NPI is 1225285646. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1440 FERNWOOD GLENDALE RD
SPARTANBURG, SC
ZIP 29307-079
Phone: (864) 582-2950

The provider's authorized official is Jennifer Wren Lever .
The authorized official title is Owner/dentist and has the following contact phone number (864) 621-5366.

The enumeration date for this NPI number is 8/27/2008 and was last updated on 8/27/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice3632SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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