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Organization

HEALTHY SMILES OF SPARTANBURG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CYNTHIA C RODDEY (EXECUTIVE DIRECTOR)
(864) 592-4698
Entity
Organization

Contact information

Practice address
800 BRISACK ROAD, SPARTANBURG, SC 29303
(864) 592-4698
(864) 592-4697
Mailing address
PO BOX 1441, SPARTANBURG, SC 29304-1441
(864) 592-4698
(864) 592-4697

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
W01524SC1
SC
Enumeration date
03/25/2008
Last updated
03/25/2008
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