Goose Creek Dental Care Llc

LBN: Goose Creek Dental Care Llc
Goose Creek Dental Care Llc is an health care organization with primary practice located at 100 Berkeley Square Ln , Goose Creek SC 29445-2958. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Goose Creek Dental Care Llc can be contacted via phone (843) 553-5235, or through Barganier, Jason Thomas via phone (843) 553-5235.

Contact Information

Primary practice address
100 Berkeley Square Ln Goose Creek SC 29445-2958
Phone: (843) 553-5235
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Barganier, Jason Thomas Doctor of Dental Medicine (DMD)
Phone: (843) 553-5235

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1992094536
LBN Legal business name Goose Creek Dental Care Llc
DBA Doing business as
Authorized official Barganier, Jason Thomas Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2011
Last updated Apr 5th, 2011 - about 13 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 1992094536 NPPES
South Carolina Other 2059735 UNITIED CONCORDIA
South Carolina MEDICAID ZX4473 UNITIED CONCORDIA

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