Keenan W. Smith, D.M.D., P.A.

LBN: Keenan W. Smith, D.M.D., P.A.
Keenan W. Smith, D.M.D., P.A. is an health care organization with primary practice located at 40 Creekview Ct , Greenville SC 29615-4800. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Keenan W. Smith, D.M.D., P.A. can be contacted via phone (864) 676-0825, or through Smith, Keenan Webster via phone (864) 676-0825.

Contact Information

Primary practice address
40 Creekview Ct Greenville SC 29615-4800
Phone: (864) 676-0825
Fax: (864) 676-9859
Website:
Map and Directions
Authorized official contact:
Name: Smith, Keenan Webster Doctor of Dental Medicine (DMD)
Phone: (864) 676-0825

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 4348 South Carolina

Profile Details

NPI number 1073757381
LBN Legal business name Keenan W. Smith, D.M.D., P.A.
DBA Doing business as
Authorized official Smith, Keenan Webster Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2009
Last updated Apr 30th, 2009 - about 15 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 1073757381 NPPES
South Carolina MEDICAID ZX4348

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