| Ashby Park Pediatric Dentistry | |
|
100 Regent Park Ct Greenville SC 29607-6534 | |
| (864) 234-3424 | |
| (864) 234-8234 |
| Full Name | Ashby Park Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 100 Regent Park Ct, Greenville, South Carolina |
| Authorized Official Name and Position | Jennifer L Garvey (PRESIDENT) |
| Authorized Official Contact | 8642343424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashby Park Pediatric Dentistry 100 Regent Park Ct Greenville SC 29607-6534 Ph: (864) 234-3424 | Ashby Park Pediatric Dentistry 100 Regent Park Ct Greenville SC 29607-6534 Ph: (864) 234-3424 |
| NPI Number | 1598892028 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598892028 | NPI | - | NPPES |
| ZA9638 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3638 (South Carolina) | Primary |
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