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CALHOUN CLEMSON DENTAL ASSOCIATES II LLC NPI 1295261493


NPI Information

NPI: 1295261493
Provider Name: CALHOUN CLEMSON DENTAL ASSOCIATES II, LLC

Former Legal Business Name: CALHOUN CLEMSON DENTAL ASSOCIATES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
602 COLLEGE AVE STE 1
CLEMSON, SC
ZIP 29631
Phone: (864) 654-6813
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CALHOUN CLEMSON DENTAL ASSOCIATES II, LLC is a general practice dentist in Clemson, 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. CALHOUN CLEMSON DENTAL ASSOCIATES II, LLC NPI is 1295261493. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Calhoun Clemson Dental Associates.

The provider's business location address is:

602 COLLEGE AVE STE 1
CLEMSON, SC
ZIP 29631-823
Phone: (864) 654-6813
Fax: (864) 654-5803

The provider's authorized official is John Ellis Ross .
The authorized official title is Dentist and has the following contact phone number (864) 654-6813.

The enumeration date for this NPI number is 5/8/2017 and was last updated on 5/8/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2132SOUTH CAROLINAYes

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: 5/5/2024

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