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NORTH RIVERS DENTAL ASSOC INC NPI 1427128891


NPI Information

NPI: 1427128891
Provider Name: NORTH RIVERS DENTAL ASSOC INC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2070 NORTHBROOK BLVD
SUITE 12A
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 553-7827
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NORTH RIVERS DENTAL ASSOC INC is a general practice dentist in North Charleston, 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. NORTH RIVERS DENTAL ASSOC INC NPI is 1427128891. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2070 NORTHBROOK BLVD
SUITE 12A
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 553-7827
Fax: (843) 797-2559

The provider's authorized official is L Riley Cates .
The authorized official title is Pres Owner and has the following contact phone number (843) 553-7827.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100823911OTHERUNITED CONCORDIA

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: 11/14/2023

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