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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE DENTAL GROUP LLC

Active Organization

PROVIDENCE DENTAL GROUP LLC is a Dental Clinic organization located in SIMPSONVILLE, South Carolina. NPI 1760502181 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · SIMPSONVILLE, SC

Registration Details

NPI Number
1760502181
Provider Type
Organization
NPI Issued
Mar 30, 2007 (19.22899202775 yrs)
Last Updated
Aug 22, 2020
License
SC 3724 (SC)

Practice Information

Address
220 BRIDGES RD
SIMPSONVILLE, SC, 296815700
Browse SC providers · Browse ZIP 29681
Phone
8646756445
Fax
8646756447
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in SIMPSONVILLE, SC

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.