Carolina Center For Restorative Dentistry

LBN: Carolina Center For Restorative Dentistry
Carolina Center For Restorative Dentistry is an health care organization with primary practice located at 966 Suite I Houston Northcutt Blvd, Mt Pleasant SC 29464. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Prosthodontics. Dental Providers / Periodontics is the primary health care specialty. Carolina Center For Restorative Dentistry can be contacted via phone (843) 849-9044, or through Barrack, Kenneth Steven via phone (843) 849-9044.

Contact Information

Primary practice address
966 Suite I Houston Northcutt Blvd Mt Pleasant SC 29464
Fax: (843) 849-7493
Website:
Authorized official contact:
Name: Barrack, Kenneth Steven

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 183 South Carolina
Dental Providers / Prosthodontics 1223P0700X 4169621 South Carolina

Profile Details

NPI number 1447360854
LBN Legal business name Carolina Center For Restorative Dentistry
DBA Doing business as
Authorized official Barrack, Kenneth Steven
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1447360854 NPPES
Other 45955353 TPIN

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