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CHEROKEE GENERAL DENTISTRY NPI 1487669123


NPI Information

NPI: 1487669123
Provider Name: CHEROKEE GENERAL DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 42D2046131

Address:
105 N JOHNSON ST
GAFFNEY, SC
ZIP 29340
Phone: (864) 489-0375
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CHEROKEE GENERAL DENTISTRY is a general practice dentist in Gaffney, 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. CHEROKEE GENERAL DENTISTRY NPI is 1487669123. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

105 N JOHNSON ST
GAFFNEY, SC
ZIP 29340-127
Phone: (864) 489-0375
Fax: (864) 489-4811

The provider's authorized official is Angie B Vinesett .
The authorized official title is Office Manager and has the following contact phone number (864) 489-0375.

The CLIA number assigned to this NPI record is 42D2046131 - other - jail medical unit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeSOUTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z14645MEDICAIDSOUTH CAROLINA

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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