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Organization
GREAT OAKS LLC
Active
Organization
GREAT OAKS LLC
Active
Other names
Great Oaks Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM PENNINGTON DMD (OWNER)
(864) 878-2428
Entity
Organization
Contact information
Practice address
108 MASSINGILL RD., PICKENS, SC 29671-2222
(864) 878-2428
(864) 878-3080
Mailing address
108 MASSINGILL RD, PICKENS, SC 29671-2222
(864) 878-2428
(864) 878-3080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2359
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9767
—
SC
Enumeration date
07/15/2006
Last updated
09/03/2024
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