| Progrin Dental Of Greenville | |
|
201 Old Boiling Springs Rd Ste A Greer SC 29650-4257 | |
| (864) 561-7559 | |
| Not Available |
| Full Name | Progrin Dental Of Greenville |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 201 Old Boiling Springs Rd Ste A, Greer, South Carolina |
| Authorized Official Name and Position | Gregory Lee Ayers (OWNER) |
| Authorized Official Contact | 8645617559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progrin Dental Of Greenville 201 Old Boiling Springs Rd Ste A Greer SC 29650-4257 Ph: () - | Progrin Dental Of Greenville 201 Old Boiling Springs Rd Ste A Greer SC 29650-4257 Ph: (864) 561-7559 |
| NPI Number | 1962808980 |
|---|---|
| Provider Enumeration Date | 11/18/2014 |
| Last Update Date | 11/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962808980 | NPI | - | NPPES |
| ZX2558 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 310627727 (South Carolina) | Primary |
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