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ORANGEBURG FAMILY DENTISTRYLLC NPI 1831250273


NPI Information

NPI: 1831250273
Provider Name: ORANGEBURG FAMILY DENTISTRY,LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
695 LAUREL ST
ORANGEBURG, SC
ZIP 29115
Phone: (803) 536-6440
Get Directions

ORANGEBURG FAMILY DENTISTRY,LLC is a general practice dentist in Orangeburg, 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. ORANGEBURG FAMILY DENTISTRY,LLC NPI is 1831250273. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

695 LAUREL ST
ORANGEBURG, SC
ZIP 29115-834
Phone: (803) 536-6440
Fax: (803) 268-9921

The provider's authorized official is Jane D. Hartzog .
The authorized official title is Office Manager and has the following contact phone number (803) 536-6440.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 12/26/2007.


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 Practice1836SOUTH 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
1ZA9827MEDICAIDSOUTH 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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