| Progrin Dental Of Simpsonville, Llc | |
|
1219 W Georgia Rd Simpsonville SC 29680-6335 | |
| (864) 561-7559 | |
| Not Available |
| Full Name | Progrin Dental Of Simpsonville, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1219 W Georgia Rd, Simpsonville, South Carolina |
| Authorized Official Name and Position | Gregory Ayers (CEO) |
| Authorized Official Contact | 8645617559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progrin Dental Of Simpsonville, Llc 201 Old Boiling Springs Rd Ste A Greer SC 29650-4257 Ph: (864) 561-7559 | Progrin Dental Of Simpsonville, Llc 1219 W Georgia Rd Simpsonville SC 29680-6335 Ph: (864) 561-7559 |
| NPI Number | 1548757867 |
|---|---|
| Provider Enumeration Date | 04/23/2018 |
| Last Update Date | 04/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548757867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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