NPI: 1972687903
Provider Name: CRESTON DENTAL-1, P.C.
Former Legal Business Name: KOOL SMILES SC, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
3112 N MAIN ST
ANDERSON, SC
ZIP 29621
Phone: (678) 904-5665
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CRESTON DENTAL-1, P.C. is a general practice dentist in Anderson, 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. CRESTON DENTAL-1, P.C. NPI is 1972687903. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Kool Smiles Sc, Pc.
The provider's business location address is:
3112 N MAIN ST
ANDERSON, SC
ZIP 29621-763
Phone: (678) 904-5665
Fax: (678) 904-5669
The provider's authorized official is Tu Tran .
The authorized official title is President and has the following contact phone number (770) 916-9000.
The enumeration date for this NPI number is 10/25/2006 and was last updated on 5/13/2019.