Eastside Pediatric Dentistry Pa

LBN: Eastside Pediatric Dentistry Pa
Eastside Pediatric Dentistry Pa is an health care organization with primary practice located at 6 Pointe Cir , Greenville SC 29615-3506. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Eastside Pediatric Dentistry Pa can be contacted via phone (864) 233-1234, or through Head, Glenn Robert via phone (864) 233-1234.

Contact Information

Primary practice address
6 Pointe Cir Greenville SC 29615-3506
Phone: (864) 233-1234
Fax: (864) 298-8009
Website:
Map and Directions
Authorized official contact:
Name: Head, Glenn Robert Doctor of Dental Medicine (DMD)
Phone: (864) 233-1234

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2868 South Carolina

Profile Details

NPI number 1841263845
LBN Legal business name Eastside Pediatric Dentistry Pa
DBA Doing business as
Authorized official Head, Glenn Robert Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2006
Last updated Oct 31st, 2012 - about 12 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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