NPI: 1366522922
Provider Name: GREENVILLE PEDIATRIC DENTISTRY PA
Former Legal Business Name: DRS. WILSON, UPRICHARD AND CZARSTY PA
Classification: Dentist - 1223P0221X
Entity Type: Organization
Specialization: Pediatric Dentistry
Address:
1376 CLEVELAND ST
GREENVILLE, SC
ZIP 29607
Phone: (864) 250-1100
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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.