FALLS PARK DENTISTRY NPI 1790950202

NPI Information

FALLS PARK DENTISTRY is a general practice dentist in Greenville, 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. FALLS PARK DENTISTRY NPI is 1790950202. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 N MAIN ST
GREENVILLE, SC
ZIP 29601-721
Phone: (864) 243-8371

The provider's authorized official is Brian Russell Derrick .
The authorized official title is Dentist/president and has the following contact phone number (864) 243-8371.

The enumeration date for this NPI number is 4/25/2008 and was last updated on 4/25/2008.

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:

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