Organization
NORTH GROVE DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BEARD D.M.D. (OWNER)
(864) 585-5555
Entity
Organization
Contact information
Practice address
1330 BOILING SPRINGS RD, (220 SOJOURNERS WAY), SPARTANBURG, SC 29303-4201
(864) 585-5555
Mailing address
220 SOJOURNERS WAY, SPARTANBURG, SC 29303
(864) 585-5555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3312
SC
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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