Foothills Oral & Facial Surgery
LBN: Foothills Oral & Facial Surgery
Foothills Oral & Facial Surgery is an health care organization with primary practice located at 301 W Beltline Blvd #301, Anderson SC 29625-1505. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Foothills Oral & Facial Surgery can be contacted via phone (864) 967-4000, or through Lebedovych, Victor P via phone (864) 967-4000.
Contact Information
Primary practice address
301 W Beltline Blvd #301
Anderson SC 29625-1505
Phone: (864) 967-4000
Fax: (864) 328-9907
Website:
Authorized official contact:
Name: Lebedovych, Victor P Doctor of Dental Surgery (DDS)
Phone: (864) 967-4000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4084 | South Carolina |
Profile Details
| NPI number | 1134549629 |
|---|---|
| LBN Legal business name | Foothills Oral & Facial Surgery |
| DBA Doing business as | |
| Authorized official | Lebedovych, Victor P Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 23rd, 2014 |
| Last updated | Apr 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134549629 | NPPES |
| South Carolina | MEDICAID | 1223S0112X |
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