Organization
VINEYARD DENTAL GROUP LLC
Active
Other names
Keenan W. Smith, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEENAN WEBSTER SMITH DMD (OWNER)
(864) 729-8661
Entity
Organization
Contact information
Practice address
463 WOODRUFF RD, GREENVILLE, SC 29607-3417
(864) 729-8661
(864) 568-5597
Mailing address
463 WOODRUFF RD, GREENVILLE, SC 29607-3417
(864) 729-8661
(864) 568-5597
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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