Upcountry Dental, LLC
Clinic/Center, Dental in Seneca, SC. Organization (NPI-2).
NPI number1093522005
StatusActive
Last updated in NPPESDec 12, 2024
Details
- NPI
- 1093522005
- Entity type
- Organization (NPI-2)
- Legal business name
- Upcountry Dental, LLC
- Organization subpart
- No
- Enumeration date
- Dec 12, 2024
- Certification date
- Dec 12, 2024
- Last updated
- Dec 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Upcountry Dental (Doing Business As)
Practice location
11 Professionals CirSeneca, SC 29678-2669
Phone 864-776-0123 · Fax 864-776-0025
Mailing address
11 Professionals CirSeneca, SC 29678-2669
Phone 864-776-0123 · Fax 864-776-0025
Authorized official
Adrienne N Wimbrow
Owner Dentist
8647760123
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 5 Dental Clinic/Center providers in Seneca · All 972 providers in Seneca
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