Dental Associates Of South Carolina, Inc

LBN: Dental Associates Of South Carolina, Inc
Dental Associates Of South Carolina, Inc is an health care organization with primary practice located at 104 Buford Ave , Anderson SC 29621-3314. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dental Associates Of South Carolina, Inc can be contacted via phone (864) 224-1925, or through Ross, Kendon A via phone (864) 224-1925.

Contact Information

Primary practice address
104 Buford Ave Anderson SC 29621-3314
Fax:
Website:
Authorized official contact:
Name: Ross, Kendon A Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3286 South Carolina
Dental Providers / General Practice 1223G0001X 3260 South Carolina

Profile Details

NPI number 1912017997
LBN Legal business name Dental Associates Of South Carolina, Inc
DBA Doing business as
Authorized official Ross, Kendon A Doctor of Dental Surgery (DDS)
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 1912017997 NPPES
South Carolina MEDICAID ZA9728

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