Healthcare Provider Details

I. General information

NPI: 1851077341
Provider Name (Legal Business Name): ANDREW CLAYTON HARPER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 W PRENTISS AVE
GREENVILLE SC
29605-4029
US

IV. Provider business mailing address

1 W PRENTISS AVE
GREENVILLE SC
29605-4029
US

V. Phone/Fax

Practice location:
  • Phone: 864-607-8848
  • Fax:
Mailing address:
  • Phone: 864-607-8848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11512
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: