COSMETIC & FAMILY DENTISTRY PC NPI 1497807903

NPI Information

NPI: 1497807903
Provider Name: COSMETIC & FAMILY DENTISTRY PC

Other Name: JOHN BRADLEY PALLES DMD

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1224 YEAMANS HALL RD
HANAHAN, SC
ZIP 29406
Phone: (843) 554-4545
Get Directions

COSMETIC & FAMILY DENTISTRY PC is a general practice dentist in Hanahan, 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. COSMETIC & FAMILY DENTISTRY PC NPI is 1497807903. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is John Bradley Palles Dmd.

The provider's business location address is:

1224 YEAMANS HALL RD
HANAHAN, SC
ZIP 29406
Phone: (843) 554-4545
Fax: (843) 554-4548

The provider's authorized official is John Bradley Palles .
The authorized official title is Pres Of Cosmetic & Family Dentistry and has the following contact phone number (843) 554-4545.

The enumeration date for this NPI number is 1/17/2007 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
1	1223G0001X	Dentist	General Practice	003636	SOUTH CAROLINA	Yes

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
1	ZX3636	MEDICAID	SOUTH 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

NPI Synchronization or Removal

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