Greenville Youth Dentistry, Llc

NPI 1477595759 - Dentist - 1223G0001X

NPI Details
NPI 1477595759
Enumeration Date 06/12/2006
Last Updated 07/09/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JENELL JENELL
Position MANAGER, LICENSING & CREDENTIALING
Phone (864) 233-7737
Fax (864) 233-6559
Practice Location
225 S PLEASANTBURG DR
SUITE E10
GREENVILLE SC, 29607-2544, US
Phone (864) 233-7737
Fax (864) 233-6559
Business Location
16 ARCADE UNIT 198747
NASHVILLE TN, 37219-1994, US
Phone (615) 750-0343
Fax (615) 986-1705
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Greenville Youth Dentistry, Llc NPI is 1477595759, taxonomy code is 1223G0001X Greenville Youth Dentistry, Llc physically located at 225 S Pleasantburg Dr, Greenville SC, 29607-2544. NPI Number 1033115704 has the healthcare provider type.

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1477595759 NPI number is provided on an as is basis without warranty of any kind. 1477595759 is maintained by the National Plan & Provider Enumeration System. The contents of Greenville Youth Dentistry, Llc are for informational purposes only.