Organization · Type 2 NPI
Indigo Dental LLC
Health Service Clinic/Center · Greenville, SC
NPI number
1124614714
Active
Practice location
905 W Butler Rd
Greenville, SC 29607-2960
Mailing address
26 Wilshire Dr
Greenville, SC 29609-3831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1124614714
Indigo Dental LLC's National Provider Identifier is 1124614714, issued on Dec 17, 2020. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Greenville, SC. The record was last updated on Dec 17, 2020.