| Ashby Park Restorative And Cosmetic Dentistry Pa | |
|
303 Ashby Park Ln Greenville SC 29607-6903 | |
| (864) 987-5578 | |
| (864) 987-0351 |
| Full Name | Ashby Park Restorative And Cosmetic Dentistry Pa |
|---|---|
| Speciality | Dentist |
| Location | 303 Ashby Park Ln, Greenville, South Carolina |
| Authorized Official Name and Position | Cassandra Petersen (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashby Park Restorative And Cosmetic Dentistry Pa 303 Ashby Park Ln Greenville SC 29607-6903 Ph: (864) 987-5578 | Ashby Park Restorative And Cosmetic Dentistry Pa 303 Ashby Park Ln Greenville SC 29607-6903 Ph: (864) 987-5578 |
| NPI Number | 1013302785 |
|---|---|
| Provider Enumeration Date | 03/31/2015 |
| Last Update Date | 05/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013302785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3791 (South Carolina) | Primary |
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