| Carolina Smiles, Llc | |
|
150 Country Club Rd Spartanburg SC 29302-3364 | |
| (864) 583-3717 | |
| (864) 573-6067 |
| Full Name | Carolina Smiles, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 150 Country Club Rd, Spartanburg, South Carolina |
| Authorized Official Name and Position | Philip Carlton Morrow (OWNER) |
| Authorized Official Contact | 8645833717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Smiles, Llc Po Box 5632 Spartanburg SC 29304-5632 Ph: (864) 583-3717 | Carolina Smiles, Llc 150 Country Club Rd Spartanburg SC 29302-3364 Ph: (864) 583-3717 |
| NPI Number | 1952528127 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952528127 | NPI | - | NPPES |
| ZA9839 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2508 (South Carolina) | Primary |
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