ANDERSON PERIODONTIC ASSOCIATES NPI 1588842116

NPI Information

ANDERSON PERIODONTIC ASSOCIATES is a periodontics dentist in Anderson, SC. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. ANDERSON PERIODONTIC ASSOCIATES NPI is 1588842116. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

514 REED RD
ANDERSON, SC
ZIP 29621-058
Phone: (864) 225-3141
Fax: (864) 225-3142

The provider's authorized official is Mark R Baker .
The authorized official title is President and has the following contact phone number (864) 225-3141.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 10/21/2019.

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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