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PALMETTO HEALTH NPI 1104370188


NPI Information

NPI: 1104370188
Provider Name: PALMETTO HEALTH

Doing Business As: PALMETTO HEALTH DENTAL CLINIC

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
10 RICHLAND MEDICAL PARK DR
SUITE A
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-6567
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PALMETTO HEALTH is an oral and maxillofacial surgery dentist in Columbia, SC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. PALMETTO HEALTH NPI is 1104370188. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Palmetto Health Dental Clinic.

The provider's business location address is:

10 RICHLAND MEDICAL PARK DR
SUITE A
COLUMBIA, SC
ZIP 29203-864
Phone: (803) 434-6567
Fax: (803) 434-6299

The provider's authorized official is Darrell C Coven .
The authorized official title is Director, Ambulatory Services Finan and has the following contact phone number (803) 296-7301.

The enumeration date for this NPI number is 8/8/2016 and was last updated on 8/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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