| South Carolina Dental Sleep Center, Llc | |
|
216 Scuffletown Rd Ste A Simpsonville SC 29681-7296 | |
| (864) 207-7141 | |
| (864) 751-7329 |
| Full Name | South Carolina Dental Sleep Center, Llc |
|---|---|
| Speciality | Dentist |
| Location | 216 Scuffletown Rd Ste A, Simpsonville, South Carolina |
| Authorized Official Name and Position | Beth Louise Illsley (DIRECTOR OF INSURANCE) |
| Authorized Official Contact | 8642821935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Carolina Dental Sleep Center, Llc 110 Villa Rd Greenville SC 29615-3010 Ph: (864) 282-1935 | South Carolina Dental Sleep Center, Llc 216 Scuffletown Rd Ste A Simpsonville SC 29681-7296 Ph: (864) 207-7141 |
| NPI Number | 1669039483 |
|---|---|
| Provider Enumeration Date | 05/28/2019 |
| Last Update Date | 05/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669039483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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