FLEETWOOD SQUARE DENTAL LLC NPI 1831700178

NPI Information

NPI: 1831700178
Provider Name: FLEETWOOD SQUARE DENTAL, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
105 FLEETWOOD DR
EASLEY, SC
ZIP 29640
Phone: (864) 855-2788
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FLEETWOOD SQUARE DENTAL, LLC is a dental clinic center in Easley, SC. FLEETWOOD SQUARE DENTAL, LLC NPI is 1831700178. The provider is registered as an organization entity type.

The provider's business location address is:

105 FLEETWOOD DR
EASLEY, SC
ZIP 29640-019
Phone: (864) 855-2788
Fax: (864) 855-2689

The provider's authorized official is Sonia Kakkar .
The authorized official title is Mbr and has the following contact phone number (864) 855-2788.

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

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	261QD0000X	Clinic/Center	Dental			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: 5/5/2024

NPI Synchronization or Removal

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