Organization · Type 2 NPI
Upstate Periodontics, PA
Dental Clinic/Center · Clemson, SC
NPI number
1386859262
Active
Practice location
214 Frontage Rd
Clemson, SC 29631-1642
Fax (864) 654-3384
Mailing address
PO Box 1804
Clemson, SC 29633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 2267 (SC) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Clemson
About NPI 1386859262
Upstate Periodontics, PA's National Provider Identifier is 1386859262, issued on May 13, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Clemson, SC. The record was last updated on Aug 22, 2020.