CAROLINA PEDIATRIC DENTISTRY NPI 1326332628

NPI Information

NPI: 1326332628
Provider Name: CAROLINA PEDIATRIC DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
763 E. MAIN STREET
SPARTANBURG, SC
ZIP 29302
Phone: (864) 585-8558
Get Directions

CAROLINA PEDIATRIC DENTISTRY is a dental clinic center in Spartanburg, SC. CAROLINA PEDIATRIC DENTISTRY NPI is 1326332628. The provider is registered as an organization entity type.

The provider's business location address is:

763 E. MAIN STREET
SPARTANBURG, SC
ZIP 29302
Phone: (864) 585-8558
Fax: (864) 580-4242

The provider's authorized official is Amanda Spivey Green .
The authorized official title is Dentist and has the following contact phone number (864) 585-8558.

The enumeration date for this NPI number is 6/3/2011 and was last updated on 1/31/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	3703	SOUTH CAROLINA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZX3703	MEDICAID	SOUTH CAROLINA

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

NPI Synchronization or Removal

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