CAPITOL DENTAL GROUP LLC NPI 1295961274

NPI Information

NPI: 1295961274
Provider Name: CAPITOL DENTAL GROUP, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1106 ANTHONY AVE
COLUMBIA, SC
ZIP 29201
Phone: (803) 252-4500
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CAPITOL DENTAL GROUP, LLC is a dental clinic center in Columbia, SC. CAPITOL DENTAL GROUP, LLC NPI is 1295961274. The provider is registered as an organization entity type.

The provider's business location address is:

1106 ANTHONY AVE
COLUMBIA, SC
ZIP 29201-730
Phone: (803) 252-4500
Fax: (803) 252-0334

The provider's authorized official is Robet Michael Johnson .
The authorized official title is Dentist and has the following contact phone number (803) 252-4500.

The enumeration date for this NPI number is 6/4/2009 and was last updated on 6/4/2009.

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
1	261QD0000X	Clinic/Center	Dental	SC-4484	SOUTH CAROLINA	No
2	261QD0000X	Clinic/Center	Dental	SC-2275	SOUTH CAROLINA	Yes

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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