OrganizationActive
The Braces Place
NPI 1083038780 · Exclusive Provider Organization · Lexington, SC
Provider details
- NPI number
- 1083038780
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Robert Garrison, Owner(803) 661-8468
- License
- 302494 (SC)
Specialties & taxonomies
Managed Care Organizations
Practice location
502 N Lake Dr
Lexington, SC 29072-2806
Phone: (803) 359-4480
Approximate (ZIP-level) locationGet directions
Mailing address
502 N Lake Dr
Lexington, SC 29072-2806
Registry dates
- Enumerated
- 2014-02-17
- Last updated
- 2014-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.