Organization
THE DENTIST OFFICE AT BEREA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC DAVID WORKMAN DMD (OWNER)
(864) 907-1122
Entity
Organization
Contact information
Practice address
6701 WHITE HORSE RD, GREENVILLE, SC 29611-2503
(864) 246-8347
Mailing address
114 FATHER HUGO DR, GREER, SC 29650-4466
(864) 907-1122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
08/12/2022
Last updated
08/12/2022
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