# SPARTANBURG PEDIATRIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083934202
- **Authorized official:** DR. CHARLES AUSTIN BIRCH D.M.D. (OWNER)
- **Authorized official phone:** (864) 381-7731

## Contact information

- **Practice address:** 1575 SKYLYN DR, SPARTANBURG, SC 29307-1034
- **Practice address phone:** (864) 381-7731
- **Mailing address:** 1575 SKYLYN DR, SPARTANBURG, SC 29307-1034
- **Mailing address phone:** (864) 381-7731

## Taxonomy

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

## Other

- **Enumeration date:** 06/10/2010
- **Last updated:** 10/19/2010