Division Of Oral Pathology

LBN: Medical University Of Sc
Division Of Oral Pathology is an health care organization with primary practice located at 173 Ashley Ave , Charleston SC 29425-8908. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as the primary health care specialty. Medical University Of Sc can be contacted via phone (843) 792-4495, or through Neville, Brad W. via phone (843) 792-4496.

Contact Information

Primary practice address
173 Ashley Ave Charleston SC 29425-8908
Phone: (843) 792-4495
Fax: (843) 792-3697
Website:
Map and Directions
Authorized official contact:
Name: Neville, Brad W. Doctor of Dental Surgery (DDS)
Phone: (843) 792-4496

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X

Profile Details

NPI number 1194026153
LBN Legal business name Medical University Of Sc
DBA Doing business as Division Of Oral Pathology
Authorized official Neville, Brad W. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2010
Last updated Mar 4th, 2020 - about 4 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 1194026153 NPPES
South Carolina MEDICAID ZX0019
South Carolina MEDICAID 2375

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