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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