NPI 1467720615 · live from the CMS NPI Registry
Dental Associates Of Spartanburg, P.C.
Dentist, General Practice in Spartanburg, SC. National Provider Identifier 1467720615, active.
NPI record
| NPI | 1467720615 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 131 A-B Dorman Center Dr., Spartanburg, SC 29301 |
| Practice phone | 864-576-6600 |
| Mailing address | Po Box 860036, Minneapolis, MN 55486 |
| Enumerated | December 2, 2011 |
| Last updated | December 22, 2014 |
| Authorized official | Charles Zasso, Dentist/Owner |
| Other names | Dentalworks |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist | 122300000X | — |
| Dentist, Prosthodontics | 1223P0700X | — |
| Dentist, Endodontics | 1223E0200X | — |
| Dentist, Periodontics | 1223P0300X | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — |
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.