Organization
CAROLINA URGENT DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT TAYLOR (BUSINESS MANAGER)
(864) 232-8100
Entity
Organization
Contact information
Practice address
1007 GROVE ROAD, SUITE D, GREENVILLE, SC 29605
(864) 232-8100
Mailing address
1007 GROVE ROAD, SUITE D, GREENVILLE, SC 29605
(864) 232-8100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3857
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9492
—
SC
Enumeration date
07/03/2006
Last updated
02/13/2008
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