Organization · Type 2 NPI

Upstate Pediatric Dentistry, PA

Pediatric Dentistry · Greenville, SC

NPI number 1275780454 Active

Practice location

105-A Halton Road
Greenville, SC 29607-3507

Fax (864) 676-9870

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1275780454

Upstate Pediatric Dentistry, PA's National Provider Identifier is 1275780454, issued on Aug 19, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Greenville, SC. The record was last updated on Aug 19, 2008.