MEDICARE: H. J. TURNER, III DDS, MS

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	1223P0221X	Pediatric Dentistry	2307	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568414738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H. J. TURNER, III DDS, MS

Provider Business Mailing Address
First Line	:	365B E BLACKSTOCK RD
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29301-3762
Country	:	US
Telephone Number	:	864-574-4287
Fax Number	:	864-574-4118

Provider Business Practice Location Address
First Line	:	365B E BLACKSTOCK RD
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29301-3762
Country	:	US
Telephone Number	:	864-574-4287
Fax Number	:	864-574-4118

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. HARLEY JAMES TURNER III
Credential	:	D.D.S., M.S.
Telephone Number	:	864-574-4287

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	08/22/2020

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