UPSTATE PERIODONTICS PA NPI 1386859262

NPI Information

  • NPI: 1386859262
  • Provider Name: UPSTATE PERIODONTICS, PA
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 214 FRONTAGE RD
    CLEMSON, SC
    ZIP 29631
  • Phone: (864) 654-3416

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NPI Details

UPSTATE PERIODONTICS, PA is a dental clinic center in Clemson, SC. UPSTATE PERIODONTICS, PA NPI is 1386859262. The provider is registered as an organization entity type.

The provider's business location address is:

214 FRONTAGE RD
CLEMSON, SC
ZIP 29631-642
Phone: (864) 654-3416
Fax: (864) 654-3384

The provider's authorized official is David Christopher Garrison .
The authorized official title is Periodontist and has the following contact phone number (864) 654-3416.

The enumeration date for this NPI number is 5/13/2007 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental2267SOUTH 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: 3/30/2025

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