Redbank Family Dentistry
LBN: Redbank Family Dentistry
Redbank Family Dentistry is an health care organization with primary practice located at 513 Red Bank Rd , Goose Creek SC 29445-4507. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Redbank Family Dentistry can be contacted via phone (843) 797-1161, or through Gauthier, Serge via phone (404) 451-4888.
Contact Information
Primary practice address
513 Red Bank Rd
Goose Creek SC 29445-4507
Phone: (843) 797-1161
Fax: (843) 797-1162
Website:
Authorized official contact:
Name: Gauthier, Serge Doctor of Dental Surgery (DDS)
Phone: (404) 451-4888
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 7059 | South Carolina |
Profile Details
NPI number | 1780066589 |
---|---|
LBN Legal business name | Redbank Family Dentistry |
DBA Doing business as | |
Authorized official | Gauthier, Serge Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 29th, 2015 |
Last updated | Aug 21st, 2015 - about 10 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 | 1780066589 | NPPES |
South Carolina | MEDICAID | ZX7059 |
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