Organization
DR. RICHARD C. MATHIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD C. MATHIS D.M.D. (OWNER)
(864) 574-0762
Entity
Organization
Contact information
Practice address
2830 REIDVILLE RD, SPARTANBURG, SC 29301-5640
(864) 574-0762
Mailing address
2830 REIDVILLE RD, SPARTANBURG, SC 29301-5640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1992
SC
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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