Sunset Periodontics, Llc

LBN: Sunset Periodontics, Llc
Sunset Periodontics, Llc is an health care organization with primary practice located at 159 Medical Cir , West Columbia SC 29169-3655. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Sunset Periodontics, Llc can be contacted via phone (803) 794-7520, or through Mize, Travis Wayne via phone (317) 345-3113.

Contact Information

Primary practice address
159 Medical Cir West Columbia SC 29169-3655
Phone: (803) 794-7520
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mize, Travis Wayne D.M.D., M.H.S.
Phone: (317) 345-3113

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 826 South Carolina

Profile Details

NPI number 1598142341
LBN Legal business name Sunset Periodontics, Llc
DBA Doing business as
Authorized official Mize, Travis Wayne D.M.D., M.H.S.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2015
Last updated Jun 4th, 2015 - about 9 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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