| Blue Ridge Endodontics, L.l.c. | |
|
101 Finley St Ste A Clemson SC 29631-1583 | |
| (864) 654-1715 | |
| (864) 654-1730 |
| Full Name | Blue Ridge Endodontics, L.l.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 101 Finley St Ste A, Clemson, South Carolina |
| Authorized Official Name and Position | Keith Charles Carver (PRESIDENT) |
| Authorized Official Contact | 8656541715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Endodontics, L.l.c. Po Box 312 Clemson SC 29633-0312 Ph: (864) 654-1715 | Blue Ridge Endodontics, L.l.c. 101 Finley St Ste A Clemson SC 29631-1583 Ph: (864) 654-1715 |
| NPI Number | 1023122793 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023122793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 3962 (South Carolina) | Primary |
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