Organization
HUNT FAMILY DENTAL, LLC
Active
Other names
Wood Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMELIA SIMS ROSE (PRACTICE ADMINSTRATOR)
(864) 288-5300
Entity
Organization
Contact information
Practice address
2101 PELHAM RD, GREENVILLE, SC 29615-4006
(864) 288-5300
(864) 288-9430
Mailing address
2101 PELHAM RD, PO BOX 25604, GREENVILLE, SC 29615-4006
(864) 288-5300
(864) 288-9430
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19
19
SC
Enumeration date
12/23/2014
Last updated
12/23/2014
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