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Contact Information

ADVANCED UPSTSTE ENDODONTICS
101 FINLEY ST
CLEMSON, SC29631-1583
 Phone: 864-624-9229
 Fax: 864-624-9595
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ADVANCED UPSTSTE ENDODONTICS · (Female)

NPI Number 1003186628
Status Active
Credentials
Entity Individual
Enumeration date 01/12/2012
Last updated 01/12/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 766 ENDO
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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