Upstate Periodontics, Pa | |
214 Frontage Rd Clemson SC 29631-1642 | |
(864) 654-3416 | |
(864) 654-3384 |
Full Name | Upstate Periodontics, Pa |
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Speciality | Clinic/center - Dental |
Location | 214 Frontage Rd, Clemson, South Carolina |
Authorized Official Name and Position | David Christopher Garrison (PERIODONTIST) |
Authorized Official Contact | 8646543416 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Upstate Periodontics, Pa Po Box 1804 Clemson SC 29633 Ph: (864) 654-3416 | Upstate Periodontics, Pa 214 Frontage Rd Clemson SC 29631-1642 Ph: (864) 654-3416 |
NPI Number | 1386859262 |
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Provider Enumeration Date | 05/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1386859262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 2267 (South Carolina) | Primary |
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