| Sparkle City Dental | |
|
371 Whitney Rd Spartanburg SC 29303-3143 | |
| (864) 515-0485 | |
| Not Available |
| Full Name | Sparkle City Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 371 Whitney Rd, Spartanburg, South Carolina |
| Authorized Official Name and Position | Dan Spears (OWNER/PRESIDENT) |
| Authorized Official Contact | 8645150485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkle City Dental 371 Whitney Rd Spartanburg SC 29303-3143 Ph: (864) 515-0485 | Sparkle City Dental 371 Whitney Rd Spartanburg SC 29303-3143 Ph: (864) 515-0485 |
| NPI Number | 1154720209 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 08/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154720209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2464 (South Carolina) | Primary |
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