| Apple Seeds Pediatric Dentistry Of Five Forks, Llc | |
|
216 Scuffletown Rd Ste E Simpsonville SC 29681-7296 | |
| (864) 642-4400 | |
| (864) 282-1955 |
| Full Name | Apple Seeds Pediatric Dentistry Of Five Forks, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 216 Scuffletown Rd Ste E, Simpsonville, South Carolina |
| Authorized Official Name and Position | Beth Louise Illsley (DIRECTOR OF INSURANCE) |
| Authorized Official Contact | 8642821935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Seeds Pediatric Dentistry Of Five Forks, Llc 400 Memorial Drive Ext Ste 400 Greer SC 29651-1850 Ph: (864) 282-1935 | Apple Seeds Pediatric Dentistry Of Five Forks, Llc 216 Scuffletown Rd Ste E Simpsonville SC 29681-7296 Ph: (864) 642-4400 |
| NPI Number | 1467800714 |
|---|---|
| Provider Enumeration Date | 05/27/2016 |
| Last Update Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467800714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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