| Eastside Pediatric Dentistry Pa | |
|
6 Pointe Cir Greenville SC 29615-3506 | |
| (864) 233-1234 | |
| (864) 298-8009 |
| Full Name | Eastside Pediatric Dentistry Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6 Pointe Cir, Greenville, South Carolina |
| Authorized Official Name and Position | Glenn Robert Head (OWNER) |
| Authorized Official Contact | 8642331234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Pediatric Dentistry Pa 6 Pointe Cir Greenville SC 29615-3506 Ph: (864) 233-1234 | Eastside Pediatric Dentistry Pa 6 Pointe Cir Greenville SC 29615-3506 Ph: (864) 233-1234 |
| NPI Number | 1841263845 |
|---|---|
| Provider Enumeration Date | 02/09/2006 |
| Last Update Date | 10/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841263845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2868 (South Carolina) | Primary |
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