Organization
PROGRIN DENTAL OF GREENVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY LEE AYERS (OWNER)
(864) 561-7559
Entity
Organization
Contact information
Practice address
201 OLD BOILING SPRINGS RD STE A, GREER, SC 29650-4257
(864) 561-7559
Mailing address
201 OLD BOILING SPRINGS RD STE A, GREER, SC 29650-4257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
310627727
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX2558
—
SC
Enumeration date
11/18/2014
Last updated
11/18/2014
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