| Progrin Dental Of Powdersville, Llc | |
|
10705 Anderson Rd Easley SC 29642-8298 | |
| (864) 561-7559 | |
| Not Available |
| Full Name | Progrin Dental Of Powdersville, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10705 Anderson Rd, Easley, South Carolina |
| Authorized Official Name and Position | Brent Allen Ayers (COO) |
| Authorized Official Contact | 8645617559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progrin Dental Of Powdersville, Llc 201 Old Boiling Springs Rd Ste A Greer SC 29650-4257 Ph: (864) 561-7559 | Progrin Dental Of Powdersville, Llc 10705 Anderson Rd Easley SC 29642-8298 Ph: (864) 561-7559 |
| NPI Number | 1649832510 |
|---|---|
| Provider Enumeration Date | 07/01/2019 |
| Last Update Date | 11/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649832510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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