Blue Ridge Endodontics, L.l.c.
NPI #1023122793 in Clemson, South Carolina
Provider Information
- NPI Number
- 1023122793
- Entity Type
- Organization
- Organization Name
- Blue Ridge Endodontics, L.l.c.
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Aug 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 101 FINLEY ST STE A
- City
- Clemson
- State
- South Carolina
- ZIP Code
- 29631-1583
- Phone
- (864) 654-1715
Authorized Official
- Name
- DR. KEITH CHARLES CARVER, D.M.D., M.S.
- Title
- PRESIDENT
- Phone
- (865) 654-1715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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