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Organization

PERIODONTICS OF GREENVILLE

Active
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Organization

PERIODONTICS OF GREENVILLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN JOEL VOELKERT D.M.D., M.S. (PARTNER)
(864) 271-4330
Entity
Organization

Contact information

Practice address
1 CHARIS DR, GREENVILLE, SC 29615-6615
(864) 271-4330
(864) 271-0196
Mailing address
1 CHARIS DR, GREENVILLE, SC 29615-6615
(864) 271-4330
(864) 271-0196

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2029
SC
1223P0300X
Periodontics
2496
SC
1223P0300X
Periodontics
3832
SC

Other

Enumeration date
10/23/2006
Last updated
08/22/2020
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