Ph Dentistry

LBN: Prisma Health Medical Group-Midlands
Ph Dentistry is an health care organization with primary practice located at 10 Richland Medical Park Dr Ste A , Columbia SC 29203-6892. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Prisma Health Medical Group-Midlands can be contacted via phone (803) 434-6565, or through Lawrence, Kristi via phone (864) 522-8611.

Contact Information

Primary practice address
10 Richland Medical Park Dr Ste A Columbia SC 29203-6892
Phone: (803) 434-6565
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lawrence, Kristi
Phone: (864) 522-8611

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X South Carolina

Profile Details

NPI number 1417442864
LBN Legal business name Prisma Health Medical Group-Midlands
DBA Doing business as Ph Dentistry
Authorized official Lawrence, Kristi
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2018
Last updated Feb 22nd, 2022 - about 2 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 1417442864 NPPES
South Carolina MEDICAID ZA8984

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