Organization
GREAT OAKS LLC
Active
Other names
Great Oaks Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM PENNINGTON DMD (OWNER)
(864) 878-2428
Entity
Organization
Contact information
Practice address
108 MASSINGILL RD., PICKENS, SC 29671-2222
(864) 878-2428
(864) 878-3080
Mailing address
108 MASSINGILL RD, PICKENS, SC 29671-2222
(864) 878-2428
(864) 878-3080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2359
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9767
—
SC
Enumeration date
07/15/2006
Last updated
09/03/2024
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