SOUTHERN DENTAL ASSOCIATES LLC NPI 1194849893

NPI Information

SOUTHERN DENTAL ASSOCIATES, LLC is a general practice dentist in West Columbia, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SOUTHERN DENTAL ASSOCIATES, LLC NPI is 1194849893. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3244 SUNSET BLVD
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 796-1140
Fax: (803) 796-1974

The provider's authorized official is Lawrence J. Lorenzi .
The authorized official title is Owner and has the following contact phone number (803) 796-1140.

The CLIA number assigned to this NPI record is 42D1006423 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 7/6/2011.

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:

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