| Upstate Endodontics, Inc. | |
|
263 California Ave Spartanburg SC 29303-2271 | |
| (864) 699-9931 | |
| (864) 432-2229 |
| Full Name | Upstate Endodontics, Inc. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 263 California Ave, Spartanburg, South Carolina |
| Authorized Official Name and Position | Wallace Lyndon Guilford (PRESIDENT) |
| Authorized Official Contact | 8646999931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Endodontics, Inc. 263 California Ave Spartanburg SC 29303-2271 Ph: (864) 699-9931 | Upstate Endodontics, Inc. 263 California Ave Spartanburg SC 29303-2271 Ph: (864) 699-9931 |
| NPI Number | 1508473265 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508473265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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