Whalio Doctors

NPI 1023122793

Blue Ridge Endodontics, L.L.C.

Organisation Endodontics Clemson, SC

Practice location

Address
101 Finley St STE a, Clemson, SC 29631-1583
Phone
(864) 654-1715
Fax
(864) 654-1730
Mailing address
PO Box 312, Clemson, SC 29633-0312

Authorised official

Name
Keith Charles Carver
Title
President
Phone
(865) 654-1715

Registered specialties

Endodontics Primary
Dental Providers Taxonomy 1223E0200X Licence 3962 (SC)

Registry record

NPI
1023122793
Entity type
Organization
NPI issued
18 Aug 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.