PROVIDENCE DENTAL GROUP LLC

Clinic/Center - Dental

Active Organization
NPI: 1760502181

Practice Address

220 BRIDGES RD
Simpsonville, SC 29681

Phone: (864) 675-6445

Specialties

Specialty Code Primary License
Clinic/Center - Dental 261QD0000X Yes SC 3724 (SC)

Frequently Asked Questions

NPI 1760502181 is the National Provider Identifier for PROVIDENCE DENTAL GROUP LLC, a Clinic/Center - Dental provider located in Simpsonville, SC. This NPI was enumerated on March 30, 2007.

Quick Facts

NPI
1760502181
Type
Organization
Enumerated
Mar 30, 2007
Last Updated
Aug 22, 2020

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