Piedmont Orthodontic Associates Pa

NPI 1083754865 - Dentist - 1223X0400X

NPI Details
NPI 1083754865
Enumeration Date 02/08/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ERNEST JASON ERNEST
Position OWNER ORTHODONTIST
Phone (864) 585-8709
Fax (864) 585-8700
Practice Location
319 NORTH PINE STREET
SUITE 5
SPARTANBURG SC, 29302-1622, US
Phone (864) 585-8709
Fax (864) 585-8700
Business Location
319 NORTH PINE STREET
SUITE 5
SPARTANBURG SC, 29302-1622, US
Phone (864) 585-8709
Fax (864) 585-8700
Toxanomy
Taxonomy Code 1223X0400X
License State Georgia
License Number 332
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According to our database, Piedmont Orthodontic Associates Pa NPI is 1083754865, taxonomy code is 1223X0400X and license number is 332, license state is located at Georgia. Piedmont Orthodontic Associates Pa physically located at 319 North Pine Street, Spartanburg SC, 29302-1622. NPI Number 1033115704 has the healthcare provider type.

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1083754865 NPI number is provided on an as is basis without warranty of any kind. 1083754865 is maintained by the National Plan & Provider Enumeration System. The contents of Piedmont Orthodontic Associates Pa are for informational purposes only.