Edward M Wise Dmd

LBN: Marshlands Family Dentistry,Pa
Edward M Wise Dmd is an health care organization with primary practice located at 1090 Ribaut Rd , Beaufort SC 29902-5437. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Marshlands Family Dentistry,Pa can be contacted via phone (843) 521-4344, or through Gurganious, Virgie D via phone (843) 521-4344.

Contact Information

Primary practice address
1090 Ribaut Rd Beaufort SC 29902-5437
Phone: (843) 521-4344
Fax: (843) 521-1804
Website:
Map and Directions
Authorized official contact:
Name: Gurganious, Virgie D
Phone: (843) 521-4344

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Z1777 South Carolina

Profile Details

NPI number 1568654275
LBN Legal business name Marshlands Family Dentistry,Pa
DBA Doing business as Edward M Wise Dmd
Authorized official Gurganious, Virgie D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2007
Last updated Oct 27th, 2010 - about 14 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 1568654275 NPPES
South Carolina MEDICAID Z17777
South Carolina Other 1302242
South Carolina MEDICAID ZA9852
South Carolina Other 826791
South Carolina Other 829922

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