Organization
REEDY RIVER DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HUNTER HICKLIN DMD (OWNER)
(864) 272-3091
Entity
Organization
Contact information
Practice address
1803 AUGUSTA ST STE A, GREENVILLE, SC 29605-2980
(864) 272-3091
(864) 272-3093
Mailing address
1803 AUGUSTA ST STE A, GREENVILLE, SC 29605-2980
(864) 272-3091
(864) 272-3093
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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