| Carolina Dental Studio | |
|
1256 Boiling Springs Road Spartanburg SC 29303 | |
| (864) 582-6306 | |
| (864) 585-9593 |
| Full Name | Carolina Dental Studio |
|---|---|
| Speciality | Dentist |
| Location | 1256 Boiling Springs Road, Spartanburg, South Carolina |
| Authorized Official Name and Position | Carolyn Parris (OFFICE) |
| Authorized Official Contact | 8645826306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Dental Studio 1256 Boiling Springs Road Spartanburg SC 29303 Ph: (864) 582-6306 | Carolina Dental Studio 1256 Boiling Springs Road Spartanburg SC 29303 Ph: (864) 582-6306 |
| NPI Number | 1710222021 |
|---|---|
| Provider Enumeration Date | 11/28/2012 |
| Last Update Date | 11/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710222021 | NPI | - | NPPES |
| ZX3643 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (South Carolina) | Primary |
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