Flat Rock Family Dentistry, P.A.
Dentist, General Practice in Greenville, SC. Organization (NPI-2).
NPI number1114101557
StatusActive
Last updated in NPPESDec 20, 2007
Details
- NPI
- 1114101557
- Entity type
- Organization (NPI-2)
- Legal business name
- Flat Rock Family Dentistry, P.A.
- Organization subpart
- No
- Enumeration date
- Dec 20, 2007
- Last updated
- Dec 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3762 | SC | Yes |
Practice location
1803 Woodruff RdGreenville, SC 29607-5936
Phone 864-297-5268
Mailing address
1803 Woodruff RdGreenville, SC 29607-5936
Phone 864-297-5268
Authorized official
Chris Rouse
Dentist
8642975268
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