Austin and Teague Dental
Organization Active NPI Dentist · York, SC
NPI 1629323126 · NPPES record last updated Jul 20, 2012
Key facts
- NPI
- 1629323126
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 4599 (SC)
- Legal business name
- AUSTIN AND TEAGUE DENTAL
- Practice address
- 9 W Madison St
York, SC 29745-1143 - Phone
- (803) 684-6545
- NPI assigned
- Jul 20, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Krystal Myers Teague, D.M.D.
- Title
- Dentist
- Phone
- (803) 684-6545
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 4599 | SC | Yes |
| Dentist |
122300000X | 4367 | SC |
Addresses
Primary practice location
9 W Madison St
York, SC 29745-1143
Mailing address
PO Box 397
York, SC 29745-0397
Phone (803) 684-6545
Other providers in York, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.