Columbia Smiles Youth Dentistry, Llc

LBN: Columbia Smiles Youth Dentistry, Llc
Columbia Smiles Youth Dentistry, Llc is an health care organization with primary practice located at 3000 Two Notch Rd , Columbia SC 29204-2822. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Columbia Smiles Youth Dentistry, Llc can be contacted via phone (803) 691-9930, or through Stump, Jenell via phone (615) 750-0343.

Contact Information

Primary practice address
3000 Two Notch Rd Columbia SC 29204-2822
Phone: (803) 691-9930
Fax: (803) 691-9322
Website:
Map and Directions
Authorized official contact:
Name: Stump, Jenell
Phone: (615) 750-0343

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1760448575
LBN Legal business name Columbia Smiles Youth Dentistry, Llc
DBA Doing business as
Authorized official Stump, Jenell
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 9th, 2014 - about 10 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 1760448575 NPPES
South Carolina MEDICAID ZA9624

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