| Spartanburg Pediatric Dentistry | |
|
1575 Skylyn Dr Spartanburg SC 29307-1034 | |
| (864) 381-7731 | |
| Not Available |
| Full Name | Spartanburg Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1575 Skylyn Dr, Spartanburg, South Carolina |
| Authorized Official Name and Position | Charles Austin Birch (OWNER) |
| Authorized Official Contact | 8643817731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spartanburg Pediatric Dentistry 1575 Skylyn Dr Spartanburg SC 29307-1034 Ph: (864) 381-7731 | Spartanburg Pediatric Dentistry 1575 Skylyn Dr Spartanburg SC 29307-1034 Ph: (864) 381-7731 |
| NPI Number | 1083934202 |
|---|---|
| Provider Enumeration Date | 06/10/2010 |
| Last Update Date | 10/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083934202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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