Brent R. Humphrey Dmd, P.A.

LBN: Brent R. Humphrey Dmd, P.A.
Brent R. Humphrey Dmd, P.A. is an health care organization with primary practice located at 103 Springhall Dr , Goose Creek SC 29445-5336. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Brent R. Humphrey Dmd, P.A. can be contacted via phone (843) 797-2000, or through Humphrey, Brent R. via phone (843) 797-2000.

Contact Information

Primary practice address
103 Springhall Dr Goose Creek SC 29445-5336
Phone: (843) 797-2000
Fax: (843) 797-8826
Website:
Map and Directions
Authorized official contact:
Name: Humphrey, Brent R. Doctor of Dental Medicine (DMD)
Phone: (843) 797-2000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2872 South Carolina

Profile Details

NPI number 1316950843
LBN Legal business name Brent R. Humphrey Dmd, P.A.
DBA Doing business as
Authorized official Humphrey, Brent R. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
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 1316950843 NPPES
South Carolina MEDICAID ZA 9522

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