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Organization
NORTH GROVE DENTISTRY, P.C.
Active
Organization
NORTH GROVE DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN CUTLER (VP OF ADMINISTRATION)
(607) 743-9474
Entity
Organization
Contact information
Practice address
220 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 585-5555
Mailing address
296 S MAIN ST STE 300, ALPHARETTA, GA 30009-1973
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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