HEALTHY SMILES OF SPARTANBURG; NPI #1770755399

Contact Information

HEALTHY SMILES OF SPARTANBURG

800 BRISACK ROAD
SPARTANBURG, SC 29303

Phone: 864-592-4698
Fax: 864-592-4697
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for HEALTHY SMILES OF SPARTANBURG

NPI Number 1770755399

LBN Legal business name HEALTHY SMILES OF SPARTANBURG

Authorized official CYNTHIA RODDEY - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/25/2008

Last updated 03/25/2008 - About 18 years ago

Identifiers

Medicaid

W01524SC1

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HEALTHY SMILES OF SPARTANBURG

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for HEALTHY SMILES OF SPARTANBURG

Reviews for HEALTHY SMILES OF SPARTANBURG