Carolina Oaks Travelers Rest, LLC
Organization Active NPI General Practice Dentistry · Travelers Rest, SC
NPI 1811234933 · NPPES record last updated Sep 23, 2014
Key facts
- NPI
- 1811234933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4217 (SC)
- Legal business name
- CAROLINA OAKS TRAVELERS REST, LLC
- Practice address
- 23 S Main St
Travelers Rest, SC 29690-1830 - Phone
- (864) 836-8416
- NPI assigned
- Jan 9, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Marc Workman, DMD
- Title
- Member
- Phone
- (864) 235-3949
Practitioners 1
-
Susan H Maxwell, DMD
National Provider Directory
Locations
23 S Main St
Travelers Rest, SC 29690
Phone (864) 836-8416
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 4217 | SC | Yes |
Addresses
Primary practice location
23 S Main St
Travelers Rest, SC 29690-1830
Mailing address
23 S Main St
Travelers Rest, SC 29690-1830
Phone (864) 836-8416
Other providers in Travelers Rest, SC
- Elizabeth W Burton
- Kristi Lynn Cabiao
- Jodi Brook Cain
- Kimberly Anne Caldwell
- Carolina Ambulance
- William Cathey
- Corrine Chaffee
- Martin Kin Chan
- Melissa Ann Chan
- Austin Ross Chastain
All providers in Travelers Rest, SC · General Practice Dentistry in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 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.