Organization
PERIODONTICS OF GREENVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN VOLKERT DMD (PRESIDENT)
(864) 271-4330
Entity
Organization
Contact information
Practice address
1130 E BUTLER RD, GREENVILLE, SC 29607-5908
(864) 987-9700
(864) 987-0198
Mailing address
1130 E BUTLER RD, GREENVILLE, SC 29607-5908
(864) 987-9700
(864) 987-0198
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
SC
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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