Charleston Periodonticspa

LBN: Charleston Periodonticspa
Charleston Periodonticspa is an health care organization with primary practice located at 1051 Gardner Rd Suite A, Charleston SC 29407-5747. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Charleston Periodonticspa can be contacted via phone (843) 766-7131, or through Laro, Jeffrey J via phone (843) 766-7131.

Contact Information

Primary practice address
1051 Gardner Rd Suite A Charleston SC 29407-5747
Fax: (843) 766-1839
Website:
Authorized official contact:
Name: Laro, Jeffrey J DMD MHS

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1003955659
LBN Legal business name Charleston Periodonticspa
DBA Doing business as
Authorized official Laro, Jeffrey J DMD MHS
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated May 2nd, 2011 - about 13 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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