Berea Comprehensive Dentistry

LBN: Berea Comprehensive Dentistry
Berea Comprehensive Dentistry is an health care organization with primary practice located at 701 Sulphur Springs Rd , Greenville SC 29617-1913. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Berea Comprehensive Dentistry can be contacted via phone (864) 246-2181, or through Nasim, Mir Jim via phone (864) 246-2181.

Contact Information

Primary practice address
701 Sulphur Springs Rd Greenville SC 29617-1913
Phone: (864) 246-2181
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nasim, Mir Jim Doctor of Dental Medicine (DMD)
Phone: (864) 246-2181

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2881 South Carolina

Profile Details

NPI number 1972650042
LBN Legal business name Berea Comprehensive Dentistry
DBA Doing business as
Authorized official Nasim, Mir Jim Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1972650042 NPPES
South Carolina MEDICAID ZA9490

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