Lockwood Dental Asscociates, Llc

LBN: Lockwood Dental Asscociates, Llc
Lockwood Dental Asscociates, Llc is an health care organization with primary practice located at 14 Lockwood Drive Ste A, Charleston SC 29401. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lockwood Dental Asscociates, Llc can be contacted via phone (843) 722-8500, or through Modzelewski, Craig Steven via phone (843) 722-8500.

Contact Information

Primary practice address
14 Lockwood Drive Ste A Charleston SC 29401
Fax: (843) 720-8555
Website:
Authorized official contact:
Name: Modzelewski, Craig Steven Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3892 South Carolina
Dental Providers / General Practice 1223G0001X 1313 South Carolina

Profile Details

NPI number 1548486566
LBN Legal business name Lockwood Dental Asscociates, Llc
DBA Doing business as
Authorized official Modzelewski, Craig Steven Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1548486566 NPPES
South Carolina MEDICAID ZX3892
South Carolina MEDICAID Z13138

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