A Healthy Smile
Organization Active NPI General Practice Dentistry · Rock Hill, SC
NPI 1669874053 · NPPES record last updated Sep 17, 2014
Key facts
- NPI
- 1669874053
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8320 (SC)
- Legal business name
- A HEALTHY SMILE
- Practice address
- 1658 Cranium Dr
Suite Number 106
Rock Hill, SC 29732-3506 - Phone
- (919) 282-6143
- NPI assigned
- Sep 17, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Harvey Lee Spencer Jr., D.D.S.
- Title
- Co-Owner; General Dentist
- Phone
- (919) 282-6143
Practitioners 1
-
Loray Danielle Spencer, D.D.S.
National Provider Directory
Locations
1658 Cranium Dr
Ste 106
Rock Hill, SC 29732
Phone (803) 327-4357
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 8320 | SC | Yes |
Addresses
Primary practice location
1658 Cranium Dr
Suite Number 106
Rock Hill, SC 29732-3506
Mailing address
221 Fairforest Way
Apt 6102
Greenville, SC 29607-4629
Phone (919) 282-6143
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2014. 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.