Indigo Pediatric Dentistry

LBN: Indigo Pediatric Dentistry
Indigo Pediatric Dentistry is an health care organization with primary practice located at 1673 E Main St Unit B , Easley SC 29640-3791. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Indigo Pediatric Dentistry can be contacted via phone (864) 442-6770, or through Shalabi, Rula M via phone (864) 442-6770.

Contact Information

Primary practice address
1673 E Main St Unit B Easley SC 29640-3791
Phone: (864) 442-6770
Fax: (864) 442-6830
Website:
Map and Directions
Authorized official contact:
Name: Shalabi, Rula M Doctor of Dental Medicine (DMD)
Phone: (864) 442-6770

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1174082713
LBN Legal business name Indigo Pediatric Dentistry
DBA Doing business as
Authorized official Shalabi, Rula M Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2019
Last updated Mar 13th, 2019 - about 6 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 1174082713 NPPES
South Carolina MEDICAID ZX8355
South Carolina Other 1609282425

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