Prime Dental of Woodruff

NPI #1407918014 in Woodruff, South Carolina

Provider Information

NPI Number: 1407918014
Entity Type: Organization
Organization Name: Prime Dental of Woodruff
Primary Specialty: Dentist
Enumeration Date: Dec 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 420 S MAIN ST
City: Woodruff
State: South Carolina
ZIP Code: 29388-2117
Phone: (864) 476-3212

Authorized Official

Name: DR. ASA DUNCAN SHIRLEY III, DMD
Title: OWNER
Phone: (864) 834-8001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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