Distinctive Dentistry

LBN: Distinctive Dentistry
Distinctive Dentistry is an health care organization with primary practice located at 11107 Broad River Rd Suite D, Irmo SC 29063-7602. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Distinctive Dentistry can be contacted via phone (803) 749-3980, or through Cunningham, Robert Ray via phone (803) 917-6962.

Contact Information

Primary practice address
11107 Broad River Rd Suite D Irmo SC 29063-7602
Phone: (803) 749-3980
Fax: (803) 749-3981
Website:
Map and Directions
Authorized official contact:
Name: Cunningham, Robert Ray Doctor of Dental Medicine (DMD)
Phone: (803) 917-6962

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4114 South Carolina

Profile Details

NPI number 1760664304
LBN Legal business name Distinctive Dentistry
DBA Doing business as
Authorized official Cunningham, Robert Ray Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2007
Last updated Dec 5th, 2007 - about 17 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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