Organization
TRIAD DENTAL GROUP
Active
Other names
The Bright Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MITCHELL (ADMINISTRATIVE ASSISTANT)
(864) 706-1651
Entity
Organization
Contact information
Practice address
3425 HIGHWAY 153, PIEDMONT, SC 29673-7725
(864) 295-8678
(864) 295-8607
Mailing address
108 BURTON ST, SPARTANBURG, SC 29301-5400
(864) 576-7169
(864) 576-8389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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