Ft Mill Dentistry Llc

LBN: Ft Mill Dentistry Llc
Ft Mill Dentistry Llc is an health care organization with primary practice located at 133 Clebourne St , Fort Mill SC 29715-1742. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Ft Mill Dentistry Llc can be contacted via phone (803) 547-7508, or through Dean, Ashley via phone (803) 547-7508.

Contact Information

Primary practice address
133 Clebourne St Fort Mill SC 29715-1742
Phone: (803) 547-7508
Fax: (803) 547-1070
Website:
Map and Directions
Authorized official contact:
Name: Dean, Ashley
Phone: (803) 547-7508

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1295405819
LBN Legal business name Ft Mill Dentistry Llc
DBA Doing business as
Authorized official Dean, Ashley
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2021
Last updated Sep 15th, 2021 - 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 1295405819 NPPES
South Carolina Other 4178 SOUTH CAROLINA BOARD OF DENTISTRY
South Carolina Other 4481 SOUTH CAROLINA BOARD OF DENTISTRY

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