| Augusta Street Dental Associates, P.a. | |
|
813 Augusta Street Greenville SC 29605 | |
| (864) 232-8393 | |
| (864) 242-6944 |
| Full Name | Augusta Street Dental Associates, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 813 Augusta Street, Greenville, South Carolina |
| Authorized Official Name and Position | Tywana M Groce (PRESIDENT) |
| Authorized Official Contact | 8642328393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Street Dental Associates, P.a. 111 Whispering Pines Lane Greenwood SC 29646 Ph: (864) 232-8393 | Augusta Street Dental Associates, P.a. 813 Augusta Street Greenville SC 29605 Ph: (864) 232-8393 |
| NPI Number | 1922301639 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 12/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922301639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4483 (South Carolina) | Primary |
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