| Carolina Family Orthodontics Of Greenridge, Llc | |
|
15 Garlington Rd Ste 200 Greenville SC 29615-4629 | |
| (864) 722-2922 | |
| (864) 282-1955 |
| Full Name | Carolina Family Orthodontics Of Greenridge, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 15 Garlington Rd Ste 200, Greenville, South Carolina |
| Authorized Official Name and Position | Beth Illsley (DIRECTOR OF INSURANCE) |
| Authorized Official Contact | 8642821935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Family Orthodontics Of Greenridge, Llc 400 Memorial Drive Ext Ste 400 Greer SC 29651-1850 Ph: (864) 282-1935 | Carolina Family Orthodontics Of Greenridge, Llc 15 Garlington Rd Ste 200 Greenville SC 29615-4629 Ph: (864) 722-2922 |
| NPI Number | 1013367499 |
|---|---|
| Provider Enumeration Date | 06/16/2016 |
| Last Update Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013367499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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