Individual
KALEB SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
631 N CHURCH ST, SPARTANBURG, SC 29303-3046
(864) 308-1355
Mailing address
631 N CHURCH ST, SPARTANBURG, SC 29303-3046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.11452.GD
SC
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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