National Provider Identifier Database

HEALTHY SMILES OF SPARTANBURG
Voluntary or Charitable


Contact Information

HEALTHY SMILES OF SPARTANBURG
800 BRISACK ROAD
SPARTANBURG, SC29303
Phone: 864-592-4698
Fax: 864-592-4697
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for HEALTHY SMILES OF SPARTANBURG

NPI Number 1770755399
Legal business name
LBN
HEALTHY SMILES OF SPARTANBURG
Authorized official CYNTHIA RODDEY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/25/2008
Last updated 03/25/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: W01524SC1

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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