Organization
PROGRIN DENTAL OF SIMPSONVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY AYERS DMD (CEO)
(864) 561-7559
Entity
Organization
Contact information
Practice address
1219 W GEORGIA RD, SIMPSONVILLE, SC 29680-6335
(864) 561-7559
Mailing address
201 OLD BOILING SPRINGS RD STE A, GREER, SC 29650-4257
(864) 561-7559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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