| Ashby Park Pediatric Dentistry Easley | |
|
708 North A Street Easley SC 29640 | |
| (864) 605-7741 | |
| Not Available |
| Full Name | Ashby Park Pediatric Dentistry Easley |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 708 North A Street, Easley, South Carolina |
| Authorized Official Name and Position | Jennifer Garvey (PARTNER/OWNER) |
| Authorized Official Contact | 8642343424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashby Park Pediatric Dentistry Easley 708 North A Street Easley SC 29640 Ph: (864) 605-7741 | Ashby Park Pediatric Dentistry Easley 708 North A Street Easley SC 29640 Ph: (864) 605-7741 |
| NPI Number | 1417309451 |
|---|---|
| Provider Enumeration Date | 07/01/2016 |
| Last Update Date | 07/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417309451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3638 (South Carolina) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3638 (South Carolina) | Secondary |
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