| Wood Creek Dental | |
|
2101 Pelham Rd Greenville SC 29615-4006 | |
| (864) 288-5300 | |
| (864) 288-9430 |
| Full Name | Wood Creek Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2101 Pelham Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Amelia Sims Rose (PRACTICE ADMINSTRATOR) |
| Authorized Official Contact | 8642885300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wood Creek Dental 2101 Pelham Rd Po Box 25604 Greenville SC 29615-4006 Ph: (864) 288-5300 | Wood Creek Dental 2101 Pelham Rd Greenville SC 29615-4006 Ph: (864) 288-5300 |
| NPI Number | 1073901286 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 12/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073901286 | NPI | - | NPPES |
| 19 | Other | SC | 19 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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