| Vineyard Dental Group Llc | |
|
463 Woodruff Rd Greenville SC 29607-3417 | |
| (864) 729-8661 | |
| (864) 568-5597 |
| Full Name | Vineyard Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 463 Woodruff Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Keenan Webster Smith (OWNER) |
| Authorized Official Contact | 8647298661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vineyard Dental Group Llc 463 Woodruff Rd Greenville SC 29607-3417 Ph: (864) 729-8661 | Vineyard Dental Group Llc 463 Woodruff Rd Greenville SC 29607-3417 Ph: (864) 729-8661 |
| NPI Number | 1093583049 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093583049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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