Provider Demographics
NPI:1871831149
Name:AFFORDABLE DENTURES - GREENWOOD, P. C.
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES - GREENWOOD, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BEEMER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:864-223-5373
Mailing Address - Street 1:1431 BYPASS 72 NE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-2210
Mailing Address - Country:US
Mailing Address - Phone:864-223-5373
Mailing Address - Fax:864-223-0344
Practice Address - Street 1:1431 BYPASS 72 NE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29649-2210
Practice Address - Country:US
Practice Address - Phone:864-223-5373
Practice Address - Fax:864-223-0344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-22
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3245122300000X
SC3405122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty