Timothy I. Mcconnell D.M.D. P.A.
LBN: Timothy I. Mcconnell D.M.D. P.A.
Timothy I. Mcconnell D.M.D. P.A. is an health care organization with primary practice located at 100 Berkeley Square Ln , Goose Creek SC 29445-2958. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Timothy I. Mcconnell D.M.D. P.A. can be contacted via phone (843) 553-5235, or through Mcconnell, Timothy Ivan via phone (843) 553-5235.
Contact Information
Primary practice address
100 Berkeley Square Ln
Goose Creek SC 29445-2958
Phone: (843) 553-5235
Fax: (843) 797-8189
Website:
Authorized official contact:
Name: Mcconnell, Timothy Ivan Doctor of Dental Medicine (DMD)
Phone: (843) 553-5235
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1759 | South Carolina |
Profile Details
| NPI number | 1528016573 |
|---|---|
| LBN Legal business name | Timothy I. Mcconnell D.M.D. P.A. |
| DBA Doing business as | |
| Authorized official | Mcconnell, Timothy Ivan Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Apr 4th, 2011 - about 13 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 | 1528016573 | NPPES |
| South Carolina | Other | 179343 | UNITED CONCORDIA INS # |
| South Carolina | MEDICAID | Z17599 | UNITED CONCORDIA INS # |
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