Upstate Periodontics, Pa in Clemson - Dental
Upstate Periodontics, Pa - NPI 1386859262
Upstate Periodontics, Pa is a Dental in Clemson, South Carolina. Upstate Periodontics, Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Upstate Periodontics, Pa is 1386859262. The last update date is 2020-08-22.
Upstate Periodontics, Pa's current location address is Po Box 1804, Clemson, South Carolina. You can contact this provider via phone number 8646543416. The mailing address for Upstate Periodontics, Pa is Po Box 1804, Clemson, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Upstate Periodontics, Pa |
|---|---|
| Address | Po Box 1804, Clemson, South Carolina |
| Phone Number | 8646543416 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PERIODONTI |
|---|---|
| Authorized Official Name | Garrison Christophe David |
| Credentials | D.M.D. |
| Telephone Number | 8646543416 |
NPI Number Detail
| NPI Number | 1386859262 |
|---|---|
| Provider Enumeration Date | 2007-05-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 1804 |
|---|---|
| City | Clemson |
| State | South Carolina (SC) |
| Post Code | 29633 |
| Phone Number | 8646543416 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 2267 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identifier code assigned to Upstate Periodontics, Pa by the Centers for Medicare & Medicaid Services?
The Upstate Periodontics, Pa has been issued the NPI (National Provider Identifier) 1386859262 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Upstate Periodontics, Pa?
The Upstate Periodontics, Pa is physically situated at Po Box 1804, in the city of Clemson, state of SC, with the postal code 29633.
What is Upstate Periodontics, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Upstate Periodontics, Pa's area of specialization is Dental, and the corresponding taxonomy code that categorizes this field of practice is 261Qd0000X.
On what date was the 1386859262 assigned to Upstate Periodontics, Pa?
The Upstate Periodontics, Pa was issued its 1386859262 on 2007-05-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Upstate Periodontics, Pa's information last updated?
The Upstate Periodontics, Pa's information was last updated on 2020-08-22.