# PROGRIN DENTAL OF POWDERSVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** iGrin Children's Dentistry of Powdersville, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649832510
- **Authorized official:** MR. BRENT ALLEN AYERS (COO)
- **Authorized official phone:** (864) 561-7559

## Contact information

- **Practice address:** 10705 ANDERSON RD, EASLEY, SC 29642-8298
- **Practice address phone:** (864) 561-7559
- **Mailing address:** 201 OLD BOILING SPRINGS RD STE A, GREER, SC 29650-4257
- **Mailing address phone:** (864) 561-7559

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2019
- **Last updated:** 11/17/2023