Lake City Family Dentistry

LBN: Lake City Family Dentistry
Lake City Family Dentistry is an health care organization with primary practice located at 804 W Main St , Lake City SC 29560-4400. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Lake City Family Dentistry can be contacted via phone (843) 374-2021, or through Hobbs, Windy via phone (843) 374-2021.

Contact Information

Primary practice address
804 W Main St Lake City SC 29560-4400
Phone: (843) 374-2021
Fax: (843) 374-2030
Website:
Map and Directions
Authorized official contact:
Name: Hobbs, Windy
Phone: (843) 374-2021

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X SC3558 South Carolina

Profile Details

NPI number 1689710139
LBN Legal business name Lake City Family Dentistry
DBA Doing business as
Authorized official Hobbs, Windy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Jan 16th, 2008 - about 16 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 1689710139 NPPES
South Carolina MEDICAID ZA9757

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