South Carolina Community Dentistry Service

LBN: South Carolina Community Dentistry Service
South Carolina Community Dentistry Service is an health care organization with primary practice located at 701 Gervais St #150-128, Columbia SC 29201-3066. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. South Carolina Community Dentistry Service can be contacted via phone (888) 344-0304, or through Benitez, Jose via phone (888) 344-0304.

Contact Information

Primary practice address
701 Gervais St #150-128 Columbia SC 29201-3066
Phone: (888) 344-0304
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Benitez, Jose
Phone: (888) 344-0304

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1891826327
LBN Legal business name South Carolina Community Dentistry Service
DBA Doing business as
Authorized official Benitez, Jose
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Aug 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891826327 NPPES
South Carolina MEDICAID ZA9625

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