Greenville Smiles P.A. in Greenville - General Practice

Greenville Smiles P.A. - NPI 1144300708

Greenville Smiles P.A. is a General Practice in Greenville, South Carolina. Greenville Smiles P.A. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Greenville Smiles P.A. is 1144300708. The last update date is 2018-06-21.

Greenville Smiles P.A.'s current location address is 140 Mall Connector Rd, Greenville, South Carolina. You can contact this provider via phone number 8642447135 and fax number 8642682428. The mailing address for Greenville Smiles P.A. is 140 Mall Connector Rd, Greenville, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Greenville Smiles P.A.
Address 140 Mall Connector Rd, Greenville, South Carolina
Phone Number 8642447135
Fax Number 8642682428
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST/OW
Authorized Official Name Wilson Stanley Ronald
Credentials DMD
Telephone Number 8642447135

NPI Number Detail

NPI Number 1144300708
Provider Enumeration Date 2006-10-17
Last Updated Date 2018-06-21

Provider Mailing Address Detail

Address 140 Mall Connector Rd
City Greenville
State South Carolina (SC)
Post Code 29607
Phone Number 8642447135
Fax Number 8642682428

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3603
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZA9622 SC --

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FAQs about Greenville Smiles P.A.

What is the Greenville Smiles P.A.'s unique identification number?

The Greenville Smiles P.A. has been assigned the NPI (National Provider Identifier) Number 1144300708 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Greenville Smiles P.A.?

The Greenville Smiles P.A. is situated at 140 Mall Connector Rd, in the city of Greenville, state of SC, with the zip code 29607.

What is Greenville Smiles P.A.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Greenville Smiles P.A. is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1144300708 to Greenville Smiles P.A.?

The Centers for Medicare & Medicaid Services originally issued the 1144300708 to Greenville Smiles P.A. on 2006-10-17.

As of what date were the details related to Greenville Smiles P.A. most recently updated or revised?

The information pertaining to Greenville Smiles P.A., including its address, specialty, and other relevant details, was last updated or revised on 2018-06-21.

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