Adult Upstate Dental Care, Llc

LBN: Adult Upstate Dental Care, Llc
Adult Upstate Dental Care, Llc is an health care organization with primary practice located at 5C Cleveland Street , Greenville SC 29607. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Adult Upstate Dental Care, Llc can be contacted via phone (864) 271-1220, or through Bobotis, Harry Nick via phone (864) 271-1220.

Contact Information

Primary practice address
5C Cleveland Street Greenville SC 29607
Phone: (864) 271-1220
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bobotis, Harry Nick Doctor of Dental Medicine (DMD)
Phone: (864) 271-1220

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3490 South Carolina

Profile Details

NPI number 1134250178
LBN Legal business name Adult Upstate Dental Care, Llc
DBA Doing business as
Authorized official Bobotis, Harry Nick Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Dec 24th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134250178 NPPES
South Carolina Other 1215981352 PERSONAL NPI
South Carolina MEDICAID Z34909 PERSONAL NPI

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