# HOLLY TREE PEDIATRIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holly Tree Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083008890
- **Authorized official:** ANN BYNUM DDS (PRESIDENT)
- **Authorized official phone:** (864) 297-5585

## Contact information

- **Practice address:** 1334 HIGHWAY 14, SIMPSONVILLE, SC 29681-5659
- **Practice address phone:** (864) 297-5585
- **Practice address fax:** (864) 297-4166
- **Mailing address:** 1334 HIGHWAY 14, SIMPSONVILLE, SC 29681-5659
- **Mailing address phone:** (864) 297-5585
- **Mailing address fax:** (864) 297-4166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 3427 | SC | Yes |

## Other

- **Enumeration date:** 03/19/2015
- **Last updated:** 02/29/2024