Sea Glass Periodontics Of Simpsonville Llc

LBN: Sea Glass Periodontics Of Simpsonville Llc
Sea Glass Periodontics Of Simpsonville Llc is an health care organization with primary practice located at 110A Hospital Dr , Simpsonville SC 29681-3226. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Sea Glass Periodontics Of Simpsonville Llc can be contacted via phone (864) 757-8820, or through Illsley, Beth via phone (864) 282-1935.

Contact Information

Primary practice address
110A Hospital Dr Simpsonville SC 29681-3226
Phone: (864) 757-8820
Fax: (864) 751-6387
Website:
Map and Directions
Authorized official contact:
Name: Illsley, Beth
Phone: (864) 282-1935

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1295344646
LBN Legal business name Sea Glass Periodontics Of Simpsonville Llc
DBA Doing business as
Authorized official Illsley, Beth
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 30th, 2020
Last updated Jul 30th, 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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