| Upstate Pediatric Dentistry, Pa | |
|
105-a Halton Road Greenville SC 29607-3507 | |
| (864) 676-9873 | |
| (864) 676-9870 |
| Full Name | Upstate Pediatric Dentistry, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 105-a Halton Road, Greenville, South Carolina |
| Authorized Official Name and Position | Brian Timothy Jones (DENTIST) |
| Authorized Official Contact | 8646769873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Pediatric Dentistry, Pa 105-a Halton Road Greenville SC 29607-3507 Ph: (864) 676-9873 | Upstate Pediatric Dentistry, Pa 105-a Halton Road Greenville SC 29607-3507 Ph: (864) 676-9873 |
| NPI Number | 1275780454 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275780454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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