Organization · Type 2 NPI
Southern Oak Dental Greenville, LLC
Dental Clinic/Center · Greenville, SC
NPI number
1053036434
Active
Practice location
101 Verdae Blvd Ste 560
Greenville, SC 29607-3834
Fax (864) 900-2511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1053036434
Southern Oak Dental Greenville, LLC's National Provider Identifier is 1053036434, issued on Oct 7, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Greenville, SC. The record was last updated on Oct 7, 2022.