Eastside Family Dentistry Pa
LBN: Eastside Family Dentistry Pa
Eastside Family Dentistry Pa is an health care organization with primary practice located at 3620 East River St , Anderson SC 29621-7334. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Eastside Family Dentistry Pa can be contacted via phone (864) 261-3132, or through Sheftall, Stanley Waring via phone (864) 261-3132.
Contact Information
Primary practice address
3620 East River St
Anderson SC 29621-7334
Phone: (864) 261-3132
Fax: (864) 261-6614
Website:
Authorized official contact:
Name: Sheftall, Stanley Waring Doctor of Dental Medicine (DMD)
Phone: (864) 261-3132
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2891 | South Carolina |
Profile Details
| NPI number | 1548363591 |
|---|---|
| LBN Legal business name | Eastside Family Dentistry Pa |
| DBA Doing business as | |
| Authorized official | Sheftall, Stanley Waring Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Aug 27th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548363591 | NPPES |
| South Carolina | MEDICAID | 2X2891 |
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