| Southern Oak Dental Greenville, Llc | |
|
101 Verdae Blvd Ste 560 Greenville SC 29607-3834 | |
| (864) 558-7155 | |
| (864) 900-2511 |
| Full Name | Southern Oak Dental Greenville, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 Verdae Blvd Ste 560, Greenville, South Carolina |
| Authorized Official Name and Position | Sabrina Crumby (CREDENTIALING) |
| Authorized Official Contact | 8645587155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oak Dental Greenville, Llc 101 Verdae Blvd Ste 560 Greenville SC 29607-3834 Ph: (864) 558-7155 | Southern Oak Dental Greenville, Llc 101 Verdae Blvd Ste 560 Greenville SC 29607-3834 Ph: (864) 558-7155 |
| NPI Number | 1053036434 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053036434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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