Sea Island Family Denistry

LBN: Sea Island Family Denistry
Sea Island Family Denistry is an health care organization with primary practice located at 902 Coleman Blvd , Mount Pleasant SC 29464-4046. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Sea Island Family Denistry can be contacted via phone (843) 884-4340, or through Cagle, John via phone (843) 884-4340.

Contact Information

Primary practice address
902 Coleman Blvd Mount Pleasant SC 29464-4046
Phone: (843) 884-4340
Fax: (843) 884-1703
Website:
Map and Directions
Authorized official contact:
Name: Cagle, John Doctor of Dental Medicine (DMD)
Phone: (843) 884-4340

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2564 South Carolina

Profile Details

NPI number 1538259528
LBN Legal business name Sea Island Family Denistry
DBA Doing business as
Authorized official Cagle, John Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1538259528 NPPES
South Carolina MEDICAID ZA9805

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