Progrin Dental Of Greenville

LBN: Progrin Dental Of Greenville
Progrin Dental Of Greenville is an health care organization with primary practice located at 201 Old Boiling Springs Rd Ste A , Greer SC 29650-4257. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Progrin Dental Of Greenville can be contacted via phone (864) 561-7559, or through Ayers, Gregory Lee via phone (864) 561-7559.

Contact Information

Primary practice address
201 Old Boiling Springs Rd Ste A Greer SC 29650-4257
Phone: (864) 561-7559
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ayers, Gregory Lee
Phone: (864) 561-7559

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 310627727 South Carolina

Profile Details

NPI number 1962808980
LBN Legal business name Progrin Dental Of Greenville
DBA Doing business as
Authorized official Ayers, Gregory Lee
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2014
Last updated Nov 18th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962808980 NPPES
South Carolina MEDICAID ZX2558

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