| Falls Park Dentistry | |
|
104 N Main St Greenville SC 29601-2721 | |
| (864) 243-8371 | |
| Not Available |
| Full Name | Falls Park Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 104 N Main St, Greenville, South Carolina |
| Authorized Official Name and Position | Brian Russell Derrick (DENTIST/PRESIDENT) |
| Authorized Official Contact | 8642438371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Falls Park Dentistry 104 N Main St Greenville SC 29601-2721 Ph: (864) 243-8371 | Falls Park Dentistry 104 N Main St Greenville SC 29601-2721 Ph: (864) 243-8371 |
| NPI Number | 1790950202 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790950202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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