| Parke J Ladd Llc | |
|
301 Mills Ave # 102 Greenville SC 29605-4021 | |
| (864) 233-1533 | |
| Not Available |
| Full Name | Parke J Ladd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 Mills Ave # 102, Greenville, South Carolina |
| Authorized Official Name and Position | Parke Ladd (OWNER/DENTIST) |
| Authorized Official Contact | 8284062925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parke J Ladd Llc 301 Mills Ave # 102 Greenville SC 29605-4021 Ph: (864) 233-1533 | Parke J Ladd Llc 301 Mills Ave # 102 Greenville SC 29605-4021 Ph: (864) 233-1533 |
| NPI Number | 1215693999 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 11/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215693999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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