Mobile Dental Care Llc

LBN: Mobile Dental Care Llc
Mobile Dental Care Llc is an health care organization with primary practice located at 1064 Gardner Rd Ste 101, Charleston SC 29407-5768. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mobile Dental Care Llc can be contacted via phone (843) 766-6194, or through Reese, John E via phone (843) 766-6194.

Contact Information

Primary practice address
1064 Gardner Rd Ste 101 Charleston SC 29407-5768
Phone: (843) 766-6194
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reese, John E Doctor of Dental Medicine (DMD)
Phone: (843) 766-6194

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X SC3654 South Carolina

Profile Details

NPI number 1003016437
LBN Legal business name Mobile Dental Care Llc
DBA Doing business as
Authorized official Reese, John E Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2007
Last updated Jul 24th, 2007 - about 17 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 1003016437 NPPES
South Carolina MEDICAID ZA9562

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