Upstate Dental

NPI #1144461807 in Mauldin, South Carolina

Provider Information

NPI Number: 1144461807
Entity Type: Organization
Organization Name: Upstate Dental
Primary Specialty: Dentist
Enumeration Date: Mar 10, 2009
Last Updated: Mar 10, 2009

Practice Location

Address: 503 MURRAY DR
City: Mauldin
State: South Carolina
ZIP Code: 29662-2426
Phone: (864) 288-3852

Authorized Official

Name: DR. JASON ALLEN OKULEY, D.D.S.
Title: DENTIST
Phone: (864) 288-3852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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