| Tollison Ortho Llc | |
|
20a Creekview Ct Greenville SC 29615-4800 | |
| (864) 329-1971 | |
| Not Available |
| Full Name | Tollison Ortho Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 20a Creekview Ct, Greenville, South Carolina |
| Authorized Official Name and Position | Blake Lewis Tollison (OWNER) |
| Authorized Official Contact | 8649189880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tollison Ortho Llc 20a Creekview Ct Greenville SC 29615-4800 Ph: (864) 329-1971 | Tollison Ortho Llc 20a Creekview Ct Greenville SC 29615-4800 Ph: (864) 329-1971 |
| NPI Number | 1942039201 |
|---|---|
| Provider Enumeration Date | 07/26/2024 |
| Last Update Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942039201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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