Upstate Prosthodontics, L.l.c.
NPI #1841365095 in Greenville, South Carolina
Provider Information
- NPI Number
- 1841365095
- Entity Type
- Organization
- Organization Name
- Upstate Prosthodontics, L.l.c.
- Primary Specialty
- Dentist - Prosthodontics
- Enumeration Date
- Nov 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 321 MILLS AVE
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29605-4021
- Phone
- (864) 232-3882
Authorized Official
- Name
- DR. DONALD LEE RIDGELL, DMD
- Title
- DOCTOR
- Phone
- (864) 232-3882
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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