Royal Crest Centre For Advanced Dentistry
LBN: Parkway Dentistry Of Anderson, Llc
Royal Crest Centre For Advanced Dentistry is an health care organization with primary practice located at 104 Montgomery Dr , Anderson SC 29621-3334. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Parkway Dentistry Of Anderson, Llc can be contacted via phone (864) 225-3763, or through Marcello, Patrick Ryan via phone (864) 225-3763.
Contact Information
Primary practice address
104 Montgomery Dr
Anderson SC 29621-3334
Phone: (864) 225-3763
Fax: (864) 225-8486
Website:
Authorized official contact:
Name: Marcello, Patrick Ryan Doctor of Dental Medicine (DMD)
Phone: (864) 225-3763
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3609 | South Carolina |
Profile Details
| NPI number | 1609922517 |
|---|---|
| LBN Legal business name | Parkway Dentistry Of Anderson, Llc |
| DBA Doing business as | Royal Crest Centre For Advanced Dentistry |
| Authorized official | Marcello, Patrick Ryan Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Dec 23rd, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609922517 | NPPES |
| South Carolina | MEDICAID | ZA9525 |
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