Provider Demographics
NPI:1295056232
Name:PRICE, BRIAN CHRISTOPHER (DMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:CHRISTOPHER
Last Name:PRICE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-1810
Mailing Address - Country:US
Mailing Address - Phone:864-834-8001
Mailing Address - Fax:864-282-1913
Practice Address - Street 1:110 VILLA RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-3010
Practice Address - Country:US
Practice Address - Phone:864-282-1925
Practice Address - Fax:864-282-1913
Is Sole Proprietor?:No
Enumeration Date:2010-06-14
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC47121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice