Provider Demographics
NPI:1831257674
Name:POWDERSVILLE DENTAL ASSOCIATES
Entity type:Organization
Organization Name:POWDERSVILLE DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:JOPLING
Authorized Official - Suffix:III
Authorized Official - Credentials:DMD
Authorized Official - Phone:864-269-0820
Mailing Address - Street 1:100 COMMONS BLVD
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-7766
Mailing Address - Country:US
Mailing Address - Phone:864-269-0820
Mailing Address - Fax:864-269-0377
Practice Address - Street 1:100 COMMONS BLVD
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673-7766
Practice Address - Country:US
Practice Address - Phone:864-269-0820
Practice Address - Fax:864-269-0377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty