MEDICARE: CAROLINA DENTAL DOCS LLC GENERAL DENTISTRY FOR KIDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1942601174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA DENTAL DOCS LLC GENERAL DENTISTRY FOR KIDS

Provider Business Mailing Address
First Line	:	1460 JOHN B WHITE SR BLVD, STE 1-C
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29306
Country	:	US
Telephone Number	:	864-641-0495
Fax Number	:	864-707-2133

Provider Business Practice Location Address
First Line	:	1460 JOHN B WHITE SR BLVD, STE 1-C
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29306
Country	:	US
Telephone Number	:	864-641-0495
Fax Number	:	864-707-2133

Authorized Official
Title or Position	:	OWNER
Name	:	JIM NASIM
Credential	:	DMD
Telephone Number	:	864-641-0495

Provider Enumeration Date	:	09/08/2014
Last Update Date	:	07/21/2022

Similar Medicare Providers

1851613186 — NEW DAY, INC. OF SPARTANBURG
Practice Location Address:

325 S CHURCH ST
SPARTANBURG, SC
29306-5231

Practice Phone: 864-582-5431
Practice Fax: 864-582-7111

1093668758 — BON SANTE TRANSPORTATION, LLC
Practice Location Address:

145 N CHURCH ST STE 142
SPARTANBURG, SC
29306-5144

Practice Phone: 864-524-4275
Practice Fax:

1053595074 — WALGREEN CO
Practice Location Address:

2198 SOUTHPORT RD
SPARTANBURG, SC
29306-6258

Practice Phone: 864-582-5822
Practice Fax: 864-582-5794

1295550226 — LINDA GUERRIER MSN, APRN, AGPCNP-BC
Practice Location Address:

187 N CHURCH ST STE A
SPARTANBURG, SC
29306-5198

Practice Phone: 864-381-7411
Practice Fax: 864-301-9995

1841015161 — GRACEFUL HEALTH SOLUTIONS
Practice Location Address:

187 N CHURCH ST STE A
SPARTANBURG, SC
29306-5198

Practice Phone: 864-387-1439
Practice Fax: 864-301-9995

1821091737 — MR. STEVEN PHILLIP BROWN LISW-CP, DCSW, BCD
Practice Location Address:

151 S CHURCH ST
SPARTANBURG, SC
29306-3241

Practice Phone: 864-582-4080
Practice Fax: 864-574-4066

1306838024 — MR. JOHN MATHIS FRADY RPH
Practice Location Address:

201 W SAINT JOHN ST
SPARTANBURG, SC
29306-2336

Practice Phone: 864-253-8600
Practice Fax: 864-253-8690

Directions to “CAROLINA DENTAL DOCS LLC GENERAL DENTISTRY FOR KIDS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.