Upstate Pediatric Dentistry, Pa

NPI 1275780454 - Dentist - 1223P0221X

NPI Details
NPI 1275780454
Enumeration Date 08/19/2008
Last Updated 08/19/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRIAN TIMOTHY BRIAN
Position DENTIST
Phone (864) 676-9873
Fax (864) 676-9870
Practice Location
105-A HALTON ROAD
GREENVILLE SC, 29607-3507, US
Phone (864) 676-9873
Fax (864) 676-9870
Business Location
105-A HALTON ROAD
GREENVILLE SC, 29607-3507, US
Phone (864) 676-9873
Fax (864) 676-9870
Toxanomy
Taxonomy Code 1223P0221X
License State
License Number
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According to our database, Upstate Pediatric Dentistry, Pa NPI is 1275780454, taxonomy code is 1223P0221X Upstate Pediatric Dentistry, Pa physically located at 105-a Halton Road, Greenville SC, 29607-3507. NPI Number 1033115704 has the healthcare provider type.

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1275780454 NPI number is provided on an as is basis without warranty of any kind. 1275780454 is maintained by the National Plan & Provider Enumeration System. The contents of Upstate Pediatric Dentistry, Pa are for informational purposes only.