Carolina Pediatric Dentistry

LBN: Carolina Pediatric Dentistry
Carolina Pediatric Dentistry is an health care organization with primary practice located at 763 E. Main Street , Spartanburg SC 29302. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Carolina Pediatric Dentistry can be contacted via phone (864) 585-8558, or through Green, Amanda Spivey via phone (864) 585-8558.

Contact Information

Primary practice address
763 E. Main Street Spartanburg SC 29302
Phone: (864) 585-8558
Fax: (864) 580-4242
Website:
Map and Directions
Authorized official contact:
Name: Green, Amanda Spivey Doctor of Dental Medicine (DMD)
Phone: (864) 585-8558

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 3703 South Carolina

Profile Details

NPI number 1326332628
LBN Legal business name Carolina Pediatric Dentistry
DBA Doing business as
Authorized official Green, Amanda Spivey Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2011
Last updated Jan 31st, 2024 - about last year

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 1326332628 NPPES
South Carolina MEDICAID ZX3703

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